Moody, Candace Jackson

Moody, Candace Jackson is an individual health care provider with primary practice located at 932 Morreene Rd , Durham NC 27705-4410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moody, Candace Jackson can be contacted via phone (919) 668-7600.

Contact Information

Primary practice address
932 Morreene Rd Durham NC 27705-4410
Phone: (919) 668-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1619332152
LBN Legal business name Moody, Candace Jackson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2015
Last updated Nov 17th, 2022 - about 4 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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