Sydney J Buckner, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Macomb, MI
NPI 1134040439 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1134040439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704405257NSA260LN (MI)
- Practice address
- 20426 Shetland Dr
Macomb, MI 48044-2135 - Phone
- (586) 202-8893
- NPI assigned
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704405257NSA260LN | MI | Yes |
Addresses
Primary practice location
20426 Shetland Dr
Macomb, MI 48044-2135
Mailing address
20426 Shetland Dr
Macomb, MI 48044-2135
Phone (586) 202-8893
Other providers in Macomb, MI
- Raven Broaden
- Tyler Russell Browning
- Amber Brumm
- Samantha N Bryant
- Bsa Home Help Agency
- Grazia Buffa
- Bundles of Luv Home Care LLC
- Kyle Joseph Burkardt
- Carla E Butcher
- Tiara Nicole Butler
All providers in Macomb, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.