Dr Jacquelyne R Bodea, PMHNP-BC, CNM | |
100 Stoneforest Dr Ste 230, Woodstock, GA 30189-4903 | |
(470) 552-8470 | |
Not Available |
Full Name | Dr Jacquelyne R Bodea |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 100 Stoneforest Dr Ste 230, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225100118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN102394 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN102394 (Georgia) | Primary |
Entity Name | Toccoa Clinic Medical Associates, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609896885 PECOS PAC ID: 5597652164 Enrollment ID: O20040301000262 |
Mailing Address | Practice Location Address |
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Dr Jacquelyne R Bodea, PMHNP-BC, CNM 10025 Investment Dr Ste 100, Knoxville, TN 37932-2665 Ph: (865) 606-6110 | Dr Jacquelyne R Bodea, PMHNP-BC, CNM 100 Stoneforest Dr Ste 230, Woodstock, GA 30189-4903 Ph: (470) 552-8470 |
David Patton, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 730 Kipling Trl, Woodstock, GA 30189 Phone: 502-301-4704 | |
Mrs. Cristin Cay Chester, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Towne Lake Pkwy, Woodstock, GA 30189 Phone: 770-517-1022 | |
Samantha Pruitt, PMHNP-BC, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 228 Creekstone Rdg, Woodstock, GA 30188 Phone: 404-421-2089 | |
Frances Early, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Creekstone Rdg, Woodstock, GA 30188 Phone: 404-817-9994 | |
Mrs. Tran B. Trivedi, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Gold Creek Trl, Suite 200, Woodstock, GA 30188 Phone: 770-771-5600 | |
Taylor Moody, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 587 S Club Dr, Woodstock, GA 30188 Phone: 770-654-1462 | |
Martha Jo Holsomback, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7545 Main St, Woodstock, GA 30188 Phone: 770-928-0133 Fax: 770-928-1663 |