Provider Demographics
NPI:1134716061
Name:NESBITH-SYKES, MICHELLE CECELIA (AGACNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:CECELIA
Last Name:NESBITH-SYKES
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 APPLE GROVE LN
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1617
Mailing Address - Country:US
Mailing Address - Phone:516-943-5553
Mailing Address - Fax:
Practice Address - Street 1:1124 APPLE GROVE LN
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1617
Practice Address - Country:US
Practice Address - Phone:516-943-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY432787363LA2100X
TXAP143281363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care