Provider Demographics
NPI:1497306625
Name:SYKES, SHENEAKA (ARNP)
Entity type:Individual
Prefix:
First Name:SHENEAKA
Middle Name:
Last Name:SYKES
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 W PIKE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3240
Mailing Address - Country:US
Mailing Address - Phone:702-941-0874
Mailing Address - Fax:470-294-1086
Practice Address - Street 1:368 W PIKE ST STE 106
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3240
Practice Address - Country:US
Practice Address - Phone:702-941-0874
Practice Address - Fax:470-294-1086
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-29
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN242539363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty