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1467085217
JANNA MULLIS MOODY
WAYCROSS, GA
NPI
1467085217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN258973)
Enumeration Date
2020-02-20
Last Update Date
2024-02-26
Business Address
JANNA MULLIS MOODY APRN
1218 ALICE ST
WAYCROSS, GA 31501-4525
Phone number: 912-590-0973
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Mailing Address
JANNA MULLIS MOODY APRN
5191 FIRST COAST TECH PKWY FL 3
JACKSONVILLE, FL 32224-0609
Phone number: 904-256-2754
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