Provider Demographics
NPI:1831719350
Name:WOODFORD, YUSHEKIA SHERELL (MD)
Entity type:Individual
Prefix:
First Name:YUSHEKIA
Middle Name:SHERELL
Last Name:WOODFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YUSHEKIA
Other - Middle Name:SHERELL
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:77 VILCOM CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1875
Mailing Address - Country:US
Mailing Address - Phone:984-974-5217
Mailing Address - Fax:
Practice Address - Street 1:77 VILCOM CENTER DR STE 300
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1875
Practice Address - Country:US
Practice Address - Phone:984-974-5217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC390200000X
NC2024-035372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program