Basic Information
| Provider Information | |||||||||
| NPI: | 1548593577 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SIKES | ||||||||
| FirstName: | SHEILA | ||||||||
| MiddleName: | KELLY | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN BSN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 704 OLD LILESVILLE RD | ||||||||
| Address2: | |||||||||
| City: | WADESBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281702820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046946588 | ||||||||
| FaxNumber: | 7046946706 | ||||||||
| Practice Location | |||||||||
| Address1: | 704 OLD LILESVILLE RD | ||||||||
| Address2: | |||||||||
| City: | WADESBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281702820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046946588 | ||||||||
| FaxNumber: | 7046946706 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2009 | ||||||||
| LastUpdateDate: | 09/09/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0809X | 033747 | NC | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult |
No ID Information.