Provider Demographics
NPI:1669192209
Name:SISTERS DEPENDABLE CARE INC
Entity type:Organization
Organization Name:SISTERS DEPENDABLE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:TYKISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-378-3747
Mailing Address - Street 1:461 TUSCUMBIA CV W
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3659
Mailing Address - Country:US
Mailing Address - Phone:901-210-2061
Mailing Address - Fax:
Practice Address - Street 1:461 TUSCUMBIA CV W
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3659
Practice Address - Country:US
Practice Address - Phone:901-210-2061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty