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:
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 1:58 OLD CAL HILL RD
Mailing Address - Street 2:
Mailing Address - City:PINE KNOT
Mailing Address - State:KY
Mailing Address - Zip Code:42635-8169
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:58 OLD CAL HILL RD
Practice Address - Street 2:
Practice Address - City:PINE KNOT
Practice Address - State:KY
Practice Address - Zip Code:42635-8169
Practice Address - Country:US
Practice Address - Phone:606-354-3155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4021469163W00000X
TN32655363L00000X, 363LA2200X
MS904914363LP2300X
LA222030363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care