Healthcare Provider Details

I. General information

NPI: 1447130406
Provider Name (Legal Business Name): JIMMIKKA SYKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11331 MCDOWELL DR
INDIANAPOLIS IN
46229-2236
US

IV. Provider business mailing address

11331 MCDOWELL DR
INDIANAPOLIS IN
46229-2236
US

V. Phone/Fax

Practice location:
  • Phone: 317-721-5038
  • Fax:
Mailing address:
  • Phone: 317-721-5038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: