Provider Demographics
NPI:1730231341
Name:SIMS, TAMERA L (FNP PA MFT)
Entity type:Individual
Prefix:
First Name:TAMERA
Middle Name:L
Last Name:SIMS
Suffix:
Gender:F
Credentials:FNP PA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 WIMBLEY WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1140
Mailing Address - Country:US
Mailing Address - Phone:661-664-9426
Mailing Address - Fax:
Practice Address - Street 1:2701 CHESTER AVE
Practice Address - Street 2:HIGHGROVE MEDICAL CENTER
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-326-1600
Practice Address - Fax:661-716-2613
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP3120207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine