Individual
DANEISHA LATRELL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
283 MARTIN LUTHER KING JR BLVD, BLAKELY, GA 39823-3455
(292) 261-9884
(229) 261-9895
Mailing address
PO BOX 4715, DONALSONVILLE, GA 39845-4715
(229) 309-9079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN243862
GA
Other
Enumeration date
02/02/2021
Last updated
05/29/2025
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