Doctor Name: | MRS. TARA L SYKES |
NPI Number: | 1033437587 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R873234 |
Business Practice Address: | 250 Beauvoir Rd Suite 4b Biloxi, MS - 395314026 |
Business Phone Number: | 2283889848 |
Business Fax Number: | 2283884157 |
Mailing Address: | 222 Shady Lane Ave, LONG BEACH |
State: | MS |
Postal Code: | 395604308 |
Phone Number: | 2282341776 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2010 |
NPI Last Update Date: | 05/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R873234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |