Healthcare Provider Details

I. General information

NPI: 1891604799
Provider Name (Legal Business Name): AYANA DANYEA HAWKINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2404 FISK FALLS DR
BRASELTON GA
30517-3413
US

IV. Provider business mailing address

2404 FISK FALLS DR DRIVE
BRASELTON GA
30517-3413
US

V. Phone/Fax

Practice location:
  • Phone: 770-570-0846
  • Fax:
Mailing address:
  • Phone: 770-570-0846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN299682
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: