Individual provider · Type 1 NPI

Daisy Bisola Balogun, WHNP-BC

Women's Health Nurse Practitioner · Douglasville, GA

NPI number 1194063891 Active

Practice location

6084 Professional Pkwy Ste B
Douglasville, GA 30134-5612

Mailing address

3228 Founders Way
Douglasville, GA 30135-3195

Other practice locations

  • 1700 Hospital South Dr Ste 504, Austell, GA 30106-8159 · (770) 819-9211

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XRN177687 (GA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1194063891

Daisy Bisola Balogun, WHNP-BC's National Provider Identifier is 1194063891, issued on Jan 30, 2013. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Douglasville, GA. The record was last updated on Oct 21, 2025.