Provider Demographics
NPI:1023890704
Name:GUILLORY, SYNCEERA D (APRN CNM)
Entity type:Individual
Prefix:MS
First Name:SYNCEERA
Middle Name:D
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:APRN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 FAIRFIELD LN
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1325
Mailing Address - Country:US
Mailing Address - Phone:417-389-4838
Mailing Address - Fax:
Practice Address - Street 1:2417 VIRGINIA PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-3507
Practice Address - Country:US
Practice Address - Phone:972-542-0349
Practice Address - Fax:972-370-3518
Is Sole Proprietor?:No
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112682176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife