Provider Demographics
NPI:1316604432
Name:BROOKS, SYDNI NICOLE (CNP, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SYDNI
Middle Name:NICOLE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:CNP, FNP-BC
Other - Prefix:MS
Other - First Name:SYDNI
Other - Middle Name:NICOLE
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP, FNP-BC
Mailing Address - Street 1:6601 RIDGE SPGS
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-6215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10400 S WESTERN AVE STE 7
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-3017
Practice Address - Country:US
Practice Address - Phone:405-632-7256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK205295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily