Healthcare Provider Details

I. General information

NPI: 1912825175
Provider Name (Legal Business Name): JUSTINE THERESA SYKES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 O ST NW
WASHINGTON DC
20057-0003
US

IV. Provider business mailing address

5712 7TH ST N
ARLINGTON VA
22205-1018
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-3600
  • Fax:
Mailing address:
  • Phone: 347-216-0437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN500024139
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: