Provider Demographics
NPI:1154885838
Name:BILLIE, DAKOYOIA DEMISHA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DAKOYOIA
Middle Name:DEMISHA
Last Name:BILLIE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:DAKOYOIA
Other - Middle Name:DEMISHA
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2212
Mailing Address - Country:US
Mailing Address - Phone:803-361-1146
Mailing Address - Fax:
Practice Address - Street 1:285 BOULEVARD NE STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312
Practice Address - Country:US
Practice Address - Phone:678-995-5068
Practice Address - Fax:678-904-5336
Is Sole Proprietor?:No
Enumeration Date:2019-01-26
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN246363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily