Provider Demographics
NPI:1912674714
Name:THOMPKINS, SYDNEY HALL (RN)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:HALL
Last Name:THOMPKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:TAYLOR
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6135 PARK SOUTH DR STE 510
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-0100
Mailing Address - Country:US
Mailing Address - Phone:704-749-3116
Mailing Address - Fax:
Practice Address - Street 1:6135 PARK SOUTH DR STE 510
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-0100
Practice Address - Country:US
Practice Address - Phone:704-749-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC288963163W00000X
NC7525367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse