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

Jolisa R Sims

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255998209

Jolisa R Sims is a Student in an Organized Health Care Education/Training Program in Campbell, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

467 Sanderson Ave
Campbell, OH 44405-1464
Phone: (330) 406-7171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.164953 (OH)

Record details

NPI number1255998209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 24, 2019
Last updated in NPPESNovember 9, 2024
Certification dateNovember 9, 2024
Mailing address467 Sanderson Ave, Campbell, OH 44405-1464

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