| Doctor Name: | PHYLLIS JO ANN DYKES |
| NPI Number: | 1366854663 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, PMHCNS |
| License Number: | 641365 |
| Business Practice Address: | 1145 Sturgis Road Twentynine Palms, CA - 92278 |
| Business Phone Number: | 7608302683 |
| Business Fax Number: | |
| Mailing Address: | 1145 Sturgis Road, TWENTYNINE PALMS |
| State: | CA |
| Postal Code: | 92278 |
| Phone Number: | 7608302683 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2014 |
| NPI Last Update Date: | 05/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 641365 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |