MEDICARE: AMBER NOELLE SYKES NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	22584	TN
2	363LA2200X	Adult Health Nurse Practitioner	0024169430	VA
3	363L00000X	Nurse Practitioner	5013320	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	NND066B	OTHER	NC	MEDICARE
4	Q00167115	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	20BCA	OTHER	NC	BCBS NC

General Provider Information

NPI Number	:	1306126917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER NOELLE SYKES NP

Provider Business Mailing Address
First Line	:	PO BOX 360
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-0360
Country	:	US
Telephone Number	:	888-339-6065
Fax Number	:	828-538-4441

Provider Business Practice Location Address
First Line	:	10616 METROMONT PKWY STE 210
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-7670
Country	:	US
Telephone Number	:	704-774-6569
Fax Number	:	855-308-2340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2011
Last Update Date	:	09/26/2024

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