Individual provider · Type 1 NPI
Lori Angeleene Modly, CPNP
Pediatric Nurse Practitioner · Gainesville, GA
NPI number
1871860692
Active
Practice location
743 Spring St NE
Gainesville, GA 30501-3715
Fax (770) 535-7092
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN201247 (GA) |
Pediatric Nurse Practitioner: Definition to come...
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Other pediatric nurse practitioner providers in Gainesville
- Sherri Toney Moody, PNP-ACPediatric Nurse Practitioner Gainesville, GA NPI 1144693896
- Candice M. Evans, CFNPPediatric Nurse Practitioner Gainesville, GA NPI 1215909213
- Kristi A. Kennedy, CPNPPediatric Nurse Practitioner Gainesville, GA NPI 1326178468
- Jeanine M. Jackson, CNNPPediatric Nurse Practitioner Gainesville, GA NPI 1568434231
- Christy Lea Grindle, CPNP-PCPediatric Nurse Practitioner Gainesville, GA NPI 1568631224
- Aliah D. Sapp, FNPPediatric Nurse Practitioner Gainesville, GA NPI 1588015473
- Alma Marie Nakasone, CPNPPediatric Nurse Practitioner Gainesville, GA NPI 1588818843
- Britney Whitaker Carlton, CPNP-PCPediatric Nurse Practitioner Gainesville, GA NPI 1588993844
About NPI 1871860692
Lori Angeleene Modly, CPNP's National Provider Identifier is 1871860692, issued on Nov 22, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gainesville, GA. The record was last updated on Feb 28, 2012.