IndividualActive
Daisy Balogun, WHNP-BC
NPI 1194063891 · Women's Health Nurse Practitioner · Douglasville, GA
Provider details
- NPI number
- 1194063891
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN177687 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6084 Professional Pkwy Ste B
Douglasville, GA 30134-5612
Phone: (770) 739-5242
Approximate (ZIP-level) locationGet directions
Mailing address
3228 Founders Way
Douglasville, GA 30135-3195
Additional practice locations (1)
- 1700 Hospital South Dr Ste 504Austell, GA 30106-8159Phone: (770) 819-9211
Registry dates
- Enumerated
- 2013-01-30
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.