Provider Demographics
NPI:1265785596
Name:WOODS, SHIKIRA MONE' (DNP PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:SHIKIRA
Middle Name:MONE'
Last Name:WOODS
Suffix:
Gender:F
Credentials:DNP PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4492 LILY BROOKE CT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-3288
Mailing Address - Country:US
Mailing Address - Phone:404-354-4059
Mailing Address - Fax:
Practice Address - Street 1:450 U.S. 64 BUSINESS #4
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-2890
Practice Address - Country:US
Practice Address - Phone:706-896-7102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN175825163WP0809X
GA2012017919363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult