Healthcare Provider Details

I. General information

NPI: 1770680860
Provider Name (Legal Business Name): DAISY H DRAYTON DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 MARKET ST STE 10222
SAN FRANCISCO CA
94114-1612
US

IV. Provider business mailing address

4142 HAMMONDS FRY
EVANS GA
30809-8021
US

V. Phone/Fax

Practice location:
  • Phone: 706-960-6586
  • Fax: 706-960-6586
Mailing address:
  • Phone: 706-650-2991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberR043007
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN043007
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: