Provider Demographics
NPI:1316622152
Name:PLEASANT, SYDNAI (NP-C)
Entity type:Individual
Prefix:
First Name:SYDNAI
Middle Name:
Last Name:PLEASANT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 HUGHES RD STE 4
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8959
Mailing Address - Country:US
Mailing Address - Phone:256-456-5971
Mailing Address - Fax:256-583-9163
Practice Address - Street 1:540 HUGHES RD STE 4
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8959
Practice Address - Country:US
Practice Address - Phone:256-456-5971
Practice Address - Fax:256-583-9163
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-177136207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily