Provider Demographics
NPI:1033399043
Name:DANIELS-WILLIAMS, LAKEYSHA M (FNP)
Entity Type:Individual
Prefix:
First Name:LAKEYSHA
Middle Name:M
Last Name:DANIELS-WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAKEYSHA
Other - Middle Name:M
Other - Last Name:DANIELS-WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:2429 MARTIN LUTHER KING JR DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-1713
Mailing Address - Country:US
Mailing Address - Phone:404-691-9580
Mailing Address - Fax:
Practice Address - Street 1:2429 MARTIN LUTHER KING JR DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-1713
Practice Address - Country:US
Practice Address - Phone:404-691-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN152695363LF0000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife