Provider Demographics
NPI:1093602062
Name:KIRKSEY, ATORIA DANIELLE (ARNP)
Entity type:Individual
Prefix:MS
First Name:ATORIA
Middle Name:DANIELLE
Last Name:KIRKSEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 MANHOLE RD
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:39817-7637
Mailing Address - Country:US
Mailing Address - Phone:229-766-1466
Mailing Address - Fax:
Practice Address - Street 1:713 MANHOLE RD
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:39817-7637
Practice Address - Country:US
Practice Address - Phone:229-766-1466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN265128363LP0808X
FLAPRN11039181363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health