Bodea, Jacquelyne R

Bodea, Jacquelyne R is an individual health care provider with primary practice located at 100 Stoneforest Dr Ste 230 , Woodstock GA 30189-4903. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bodea, Jacquelyne R can be contacted via phone (470) 552-8470.

Contact Information

Primary practice address
100 Stoneforest Dr Ste 230 Woodstock GA 30189-4903
Phone: (470) 552-8470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN102394 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN102394 Georgia

Profile Details

NPI number 1225100118
LBN Legal business name Bodea, Jacquelyne R
Credentials PMHNP-BC, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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