Healthcare Provider Details

I. General information

NPI: 1497604185
Provider Name (Legal Business Name): CHRISTINA SIKES WHITE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTY SIKES

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7751 BAYMEADOWS RD E STE 225
JACKSONVILLE FL
32256-5836
US

IV. Provider business mailing address

4500 SAN PABLO RD S
JACKSONVILLE FL
32224-1865
US

V. Phone/Fax

Practice location:
  • Phone: 904-427-1050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11046666
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: