Healthcare Provider Details

I. General information

NPI: 1922349042
Provider Name (Legal Business Name): IRIS CHANTEL SYKES-TINSLEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38051 MARKET SQ
ZEPHYRHILLS FL
33542-7504
US

IV. Provider business mailing address

38135 MARKET SQ
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-780-8085
  • Fax: 813-355-5042
Mailing address:
  • Phone: 813-528-4975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9187236
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: