Provider Demographics
NPI:1891095451
Name:TRAEYE, ALESIA ROCHALE (DNP, FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:ALESIA
Middle Name:ROCHALE
Last Name:TRAEYE
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:MRS
Other - First Name:ALESIA
Other - Middle Name:ROCHALE TRAEYE
Other - Last Name:NIX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, FNP-C
Mailing Address - Street 1:3120 N OAK STREET EXT STE C
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-5910
Mailing Address - Country:US
Mailing Address - Phone:229-671-3500
Mailing Address - Fax:
Practice Address - Street 1:3116 N OAK STREET EXT
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1007
Practice Address - Country:US
Practice Address - Phone:229-671-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
FLAPRN9336508363LF0000X
GAGAA-NP001077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171M00000XOther Service ProvidersCase Manager/Care Coordinator