Individual
TARA GAIL SYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017015824
MO
363LF0000X
Family Nurse Practitioner
R853023
MS
Other
Enumeration date
06/23/2015
Last updated
09/12/2022
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