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Provider Profile

Jacquiece Liddell, AGACNP

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At a glance

About Jacquiece Liddell

Listed in the NPI registry as a nurse practitioner — acute care, Jacquiece Liddell, AGACNP practices in Ellenwood, GA. NPI 1467988543 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2015

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. RN206975As reported
NPINational Provider Identifier
1467988543Issued 2017

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jacquiece Liddell specialize in?

Jacquiece Liddell is a nurse practitioner in Ellenwood, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Acute Care”.

NPI registry

Where is Jacquiece Liddell located?

Jacquiece Liddell is listed at 4357 Boxwood Trl, Ellenwood, GA 30294. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacquiece Liddell's phone number?

The number on file is (678) 517-7897. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jacquiece Liddell?

Jacquiece Liddell's National Provider Identifier is 1467988543. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacquiece Liddell train?

Jacquiece Liddell attended Other, graduating in 2015. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jacquiece Liddell have?

Jacquiece Liddell has 11 years experience. Calculated from a graduation year of 2015, reported in the CMS National Downloadable File.

CMS public data

Is Jacquiece Liddell's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jacquiece Liddell. If this is you, claiming it is free.

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