Healthcare Provider Details

I. General information

NPI: 1780455436
Provider Name (Legal Business Name): SYDNEY JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 OHIO DR
PLANO TX
75024-2720
US

IV. Provider business mailing address

701 S NEDDERMAN DR
ARLINGTON TX
76019-4410
US

V. Phone/Fax

Practice location:
  • Phone: 972-468-6298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1145686
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: