Healthcare Provider Details

I. General information

NPI: 1679456719
Provider Name (Legal Business Name): SYDNEY B DEES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 BEND RD
COLDWATER MS
38618-2300
US

IV. Provider business mailing address

4001 BEND RD
COLDWATER MS
38618-2300
US

V. Phone/Fax

Practice location:
  • Phone: 662-501-9935
  • Fax:
Mailing address:
  • Phone: 662-501-9935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number910564
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: