NPI Registry.org

Hidi H Mcchesney Moody

NPI Registration Record

Provider / OrganizationNPIDate Certified
HIDI H MCCHESNEY MOODY11944824892021-11-21

Hidi H Mcchesney Moody is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194482489. Registration indicates Hidi H Mcchesney Moody is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Entity TypeIndividual
Provider Name Hidi H Mcchesney Moody APRN
Practice Office Address820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL US
Practice Office Telephone9043763800
Practice Office Fax9043968971
Mailing AddressPO BOX 748519
ATLANTA, GA 303748519 US
Business Telephone9043763800
Business Fax9043763998
Offices / Locations
AddressCity / StatePhone / Fax
700 Prudential Drive PICUJacksonville, FL 32207 9049624438
836 Prudential Dr Ste 1507 Jacksonville, FL 322078334 9043763800
HPT Codes
CodePractice
License No
State
163W00000X
Nursing Service Providers
Registered Nurse
Registered Nurse

All Other Specialties & Provider Types

Registered Nurse
Nursing Service Providers
RN9332252
FL
363LP0808X PRIMARYAccess to Mental Health/Behavioral Health Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Psych/Mental Health

All Other Specialties & Provider Types

Nurse Practitioner Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
APRN11018400
FL
OPI Codes
113756600 MEDICAID FL
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