Individual provider · Type 1 NPI

Candace Jackson Moody, PA-C

Medical Physician Assistant · Durham, NC

NPI number 1619332152 Active

Practice location

932 Morreene Rd
Durham, NC 27705-4410

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1619332152

Candace Jackson Moody, PA-C's National Provider Identifier is 1619332152, issued on Dec 29, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Durham, NC. The record was last updated on Nov 17, 2022.