Provider Demographics
NPI:1174354781
Name:SIKES, CHANDRA JANE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:JANE
Last Name:SIKES
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 CENTER AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-3172
Mailing Address - Country:US
Mailing Address - Phone:325-400-0180
Mailing Address - Fax:
Practice Address - Street 1:114 CENTER AVE STE 203
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3172
Practice Address - Country:US
Practice Address - Phone:325-400-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010361363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty