Provider Demographics
NPI:1639550965
Name:WOODS, ALEISHA JENEE' (CNM)
Entity Type:Individual
Prefix:MS
First Name:ALEISHA
Middle Name:JENEE'
Last Name:WOODS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 CLOVERLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-6309
Mailing Address - Country:US
Mailing Address - Phone:510-684-5499
Mailing Address - Fax:
Practice Address - Street 1:2000 CLAY BANK RD APT Q1
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-2580
Practice Address - Country:US
Practice Address - Phone:510-684-5499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002367363LP2300X
CA236118367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care