Provider Demographics
NPI:1144556549
Name:HYDE, SYLVIA HELEN (FNP)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:HELEN
Last Name:HYDE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-5603
Mailing Address - Country:US
Mailing Address - Phone:207-522-1600
Mailing Address - Fax:
Practice Address - Street 1:800 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:GA
Practice Address - Zip Code:30728-3330
Practice Address - Country:US
Practice Address - Phone:706-638-4112
Practice Address - Fax:706-638-4151
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC172V00000X
GARN131917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No172V00000XOther Service ProvidersCommunity Health Worker