Healthcare Provider Details

I. General information

NPI: 1285102178
Provider Name (Legal Business Name): AKELAH WOODY PMHNP-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AKELAH BATTLE FNP-BC

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4819 EMPEROR BLVD STE 400
DURHAM NC
27703-5420
US

IV. Provider business mailing address

4819 EMPEROR BLVD
DURHAM NC
27703-0089
US

V. Phone/Fax

Practice location:
  • Phone: 919-617-1307
  • Fax: 919-891-1607
Mailing address:
  • Phone: 919-617-1307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number263484
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5011211
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5011211
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5011211
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number263484
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: