Healthcare Provider Details

I. General information

NPI: 1477219665
Provider Name (Legal Business Name): SUZANNE HOPE SIKES-THURMAN APRN-CNP, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUZANNE HOPE REYNOLDS

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N ALLISON AVE
BARBOURVILLE KY
40906-1336
US

IV. Provider business mailing address

PO BOX 1150
BARBOURVILLE KY
40906-5150
US

V. Phone/Fax

Practice location:
  • Phone: 606-546-9287
  • Fax:
Mailing address:
  • Phone: 606-546-9287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4021469
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4021469
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: