CANDACE JACKSON MOODY PA-C NPI 1619332152

NPI Information

Candace Jackson Moody, PA-C is a medical physician assistant in Durham, NC with 9 years of experience. Candace Jackson Moody, PA-C NPI is 1619332152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:2015

The provider's business location address is:

932 MORREENE RD
DURHAM, NC
ZIP 27705-410
Phone: (919) 668-7600

The NPI 1619332152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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