Healthcare Provider Details

I. General information

NPI: 1245157080
Provider Name (Legal Business Name): SHANNAN SYKES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2171 HUDSON GROVE DR
JACKSONVILLE FL
32218-0006
US

IV. Provider business mailing address

2171 HUDSON GROVE DR
JACKSONVILLE FL
32218-0006
US

V. Phone/Fax

Practice location:
  • Phone: 904-434-3203
  • Fax:
Mailing address:
  • Phone: 904-434-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11046337
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: