Provider Demographics
NPI:1497306625
Name:SYKES, SHENEAKA (RN)
Entity Type:Individual
Prefix:
First Name:SHENEAKA
Middle Name:
Last Name:SYKES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 HARVEST RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-7355
Mailing Address - Country:US
Mailing Address - Phone:843-638-1147
Mailing Address - Fax:
Practice Address - Street 1:2270 HARVEST RIDGE CIR
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-7355
Practice Address - Country:US
Practice Address - Phone:843-638-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-29
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN242539163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse