Provider Demographics
NPI:1841725678
Name:OPOKU, DANISHA (FNP-C)
Entity type:Individual
Prefix:
First Name:DANISHA
Middle Name:
Last Name:OPOKU
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DANISHA
Other - Middle Name:
Other - Last Name:PERONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:23750 CENTRAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3048
Mailing Address - Country:US
Mailing Address - Phone:205-563-7466
Mailing Address - Fax:
Practice Address - Street 1:2201 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-4221
Practice Address - Country:US
Practice Address - Phone:205-277-6878
Practice Address - Fax:205-434-3767
Is Sole Proprietor?:No
Enumeration Date:2017-04-30
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-119627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily