Provider Demographics
NPI:1477219665
Name:SIKES-THURMAN, SUZANNE HOPE (APRN-CNP, AGNP-C)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:HOPE
Last Name:SIKES-THURMAN
Suffix:
Gender:F
Credentials:APRN-CNP, AGNP-C
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:HOPE
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:LA
Mailing Address - Zip Code:70744-0146
Mailing Address - Country:US
Mailing Address - Phone:225-305-8797
Mailing Address - Fax:
Practice Address - Street 1:21909 KENO RD
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-0651
Practice Address - Country:US
Practice Address - Phone:225-305-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904914363LP2300X
LA222030363LP2300X
TN267117363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care