Provider Demographics
NPI:1548999402
Name:DONOHOE, ALISHA A (FNP-BC)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:A
Last Name:DONOHOE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:A
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:177 MARLOW DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-5208
Mailing Address - Country:US
Mailing Address - Phone:615-495-4251
Mailing Address - Fax:
Practice Address - Street 1:177 MARLOW DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-5208
Practice Address - Country:US
Practice Address - Phone:615-495-4251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN227089363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily