Provider Demographics
NPI:1316005523
Name:CHEEKS, MIYESHA A (DNP, MSN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MIYESHA
Middle Name:A
Last Name:CHEEKS
Suffix:
Gender:F
Credentials:DNP, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 TURTLEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6972
Mailing Address - Country:US
Mailing Address - Phone:917-853-5056
Mailing Address - Fax:
Practice Address - Street 1:250 LANGLEY DR STE 1101
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6932
Practice Address - Country:US
Practice Address - Phone:770-954-5997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN146277363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner