Jacquiece Liddell
AGACNP | Nurse Practitioner - Acute Care | 10+ years Exp
4357 Boxwood Trl, Ellenwood
Georgia, 30294-6518
678-517-7897
Accepts Medicare Nurse Anesthetist in Ellenwood, Georgia.Jacquiece Liddell is a Ellenwood, Georgia based nurse practitioner with 10 years of experience in Acute Care. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacquiece Liddell is RN206975 for Acute Care in Georgia. Her current practice location is 4357 Boxwood Trl, Ellenwood. Patients can reach her at 678-517-7897. Jacquiece Liddell is AGACNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1467988543.
Jacquiece Liddell is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Jacquiece Liddell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacquiece Liddell |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | AGACNP |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4357 Boxwood Trl, Ellenwood, Georgia, 30294-6518 |
| Phone: | 678-517-7897 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5890031587 |
| Enrollment ID: | I20190117001499 |
| NPI Number: | 1467988543 |
| NPI Enumeration Date: | 10 May, 2017 |
| NPI Last Update On: | 10 May, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquiece Liddell are as mentioned below.
| License Number | Specialization | State | Status | |
| RN206975 | Acute Care | Georgia | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (110226) | Lithonia, GA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jacquiece Liddell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| The Emory Clinic, Inc (8820901408) | 2569 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacquiece Liddell 4357 Boxwood Trail, Ellenwood, Georgia |
| Zip: | 30294 |
Patients can reach Jacquiece Liddell at
4357 Boxwood Trl, Ellenwood, Georgia or can
call to book an appointment on 678-517-7897.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.