Provider Demographics
NPI:1144614710
Name:RICE, SYDNEY JANE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:JANE
Last Name:RICE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:NEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:4535 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2545
Mailing Address - Country:US
Mailing Address - Phone:317-781-2009
Mailing Address - Fax:
Practice Address - Street 1:4535 DRESSLER RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2545
Practice Address - Country:US
Practice Address - Phone:317-781-2009
Practice Address - Fax:317-647-4294
Is Sole Proprietor?:No
Enumeration Date:2015-03-22
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily