Sims, Jackqueline Ballentine

Sims, Jackqueline Ballentine is an individual health care provider with primary practice located at 1547 Parkway , Greenwood SC 29646-4081. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sims, Jackqueline Ballentine can be contacted via phone (864) 229-7120.

Contact Information

Primary practice address
1547 Parkway Greenwood SC 29646-4081
Phone: (864) 229-7120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3980 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3980 South Carolina

Profile Details

NPI number 1275866840
LBN Legal business name Sims, Jackqueline Ballentine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2009
Last updated Nov 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275866840 NPPES
South Carolina MEDICAID 421504
South Carolina Other 3335

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