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NPI Code Detail

MEDICARE: STEFANIE JOHNSON-SYKES FNP-C

MEDICARE: STEFANIE JOHNSON-SYKES FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP124809TX

General Provider Information

NPI Number : 1265855308
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE JOHNSON-SYKES FNP-C
Provider Business Mailing Address
First Line : 22202 BULVERDE RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78261-3080
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-216-3854
Provider Business Practice Location Address
First Line : 22202 BULVERDE RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78261-3080
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-216-3854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2014
Last Update Date : 03/17/2018

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