Provider Demographics
NPI:1386105161
Name:WOODEN, DAYSHEA ALEXIS (NP)
Entity type:Individual
Prefix:
First Name:DAYSHEA
Middle Name:ALEXIS
Last Name:WOODEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 PEACHTREE ST NW STE 400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2514
Mailing Address - Country:US
Mailing Address - Phone:404-350-7966
Mailing Address - Fax:888-975-6974
Practice Address - Street 1:1800 PEACHTREE ST NW STE 400
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-2514
Practice Address - Country:US
Practice Address - Phone:404-350-7966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN237688163W00000X, 207Y00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology