Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELYNE R BODEA, PMHNP-BC, CNM
ActiveDR. JACQUELYNE R BODEA, PMHNP-BC, CNM is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in WOODSTOCK, Georgia. NPI 1225100118 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · WOODSTOCK, GA
Registration Details
- NPI Number
- 1225100118
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2006 (19.707416221829 yrs)
- Last Updated
- Jan 29, 2022
- Licenses
-
RN102394 (GA)RN102394 (GA)
Practice Information
- Address
-
100 STONEFOREST DR STE 230WOODSTOCK, GA, 301894903Browse GA providers · Browse ZIP 30189
- Phone
- 4705528470
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in WOODSTOCK, GA
| Name | Credential | NPI |
|---|---|---|
| JUSTIN CLINT MCPEAK | NP | 1609254051 |
| SAMANTHA PRUITT | PMHNP-BC, FNP-BC | 1053876391 |
| JASON EDWARD WATTS | PMHNP | 1083171326 |
| MATTHEW DUSTIN DOWDY | — | 1295382125 |
| MEAH NICOLE MCCRAY | PMHNP | 1326676438 |
| ANDREW SCOTT DANIEL | PMHNP | 1558095497 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.