Provider Demographics
NPI:1083403810
Name:DORSEY, SYDNY ALEXIS (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SYDNY
Middle Name:ALEXIS
Last Name:DORSEY
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:SYDNY
Other - Middle Name:
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5288 PADDOCK FALLS DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7610
Mailing Address - Country:US
Mailing Address - Phone:330-883-9587
Mailing Address - Fax:
Practice Address - Street 1:112 HARCOURT RD STE 2
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-3944
Practice Address - Country:US
Practice Address - Phone:614-987-8847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2025005048363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health