Provider Demographics
NPI:1821867383
Name:SIKES-DOGGETT, TELINA MICHELLE (DNP, AGNP-C)
Entity Type:Individual
Prefix:
First Name:TELINA
Middle Name:MICHELLE
Last Name:SIKES-DOGGETT
Suffix:
Gender:F
Credentials:DNP, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-8425
Mailing Address - Country:US
Mailing Address - Phone:251-533-7009
Mailing Address - Fax:
Practice Address - Street 1:3305 ABBEY DR
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-8425
Practice Address - Country:US
Practice Address - Phone:251-533-7009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-107733363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner