Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackqueline Ballentine Sims, FNP

Individual provider Family Nurse Practitioner · NPI 1275866840

Jackqueline Ballentine Sims, FNP is a Nurse Practitioner in Greenwood, South Carolina. Qualified in 2009, 17 years ago. Practices with South Carolina Dept of Mental Health Accounting Office, a 231-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
17
Licensed in
SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1547 Pkwy
Greenwood, SC 29646-4081
Phone: (864) 229-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3980 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F3980 (SC)

Record details

NPI number1275866840
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 14, 2009
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice South Carolina Dept Of Mental Health Accounting Office — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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