Healthcare Provider Details

I. General information

NPI: 1831002005
Provider Name (Legal Business Name): KAYLA JAANIA DAESHA FORD DNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYLA WASHINGTON DNP, WHNP-BC

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 34
UNIONDALE NY
11553-0034
US

IV. Provider business mailing address

PO BOX 34
UNIONDALE NY
11553-0034
US

V. Phone/Fax

Practice location:
  • Phone: 516-460-7440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number832778-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: