Provider Demographics
NPI:1306126917
Name:SYKES, AMBER NOELLE (NP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NOELLE
Last Name:SYKES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:10616 METROMONT PKWY STE 210
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7670
Practice Address - Country:US
Practice Address - Phone:704-774-6569
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22584363LA2200X
VA0024169430363LA2200X
NC5013320363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1306126917Medicaid
NC20BCAOtherBCBS NC
NCNND066BOtherMEDICARE
NCQ00167115OtherRAILROAD MEDICARE