Healthcare Provider Details

I. General information

NPI: 1134040439
Provider Name (Legal Business Name): SYDNEY J BUCKNER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20426 SHETLAND DR
MACOMB MI
48044-2135
US

IV. Provider business mailing address

20426 SHETLAND DR
MACOMB MI
48044-2135
US

V. Phone/Fax

Practice location:
  • Phone: 586-202-8893
  • Fax:
Mailing address:
  • Phone: 586-202-8893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704405257NSA260LN
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: