Lori Angeleene Modly

CPNP | Nurse Practitioner - Pediatrics

743 Spring St Ne, Gainesville
  Georgia, 30501-3715
770-535-3611
May or may not accept Medicare Nurse Anesthetist in Gainesville, Georgia.
Lori Angeleene Modly is a Gainesville, Georgia based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Lori Angeleene Modly is RN201247 for Pediatrics in Georgia. Her current practice location is 743 Spring St Ne, Gainesville. Patients can reach her at 770-535-3611 or can fax her at 770-535-7092. Lori Angeleene Modly is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1871860692.
Lori Angeleene Modly specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Lori Angeleene Modly speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Lori Angeleene Modly
Specialization: Pediatrics Nurse Practitioner (PNP)
Gender:Female
Credentials: CPNP
Practice Address:743 Spring St Ne, Gainesville,
Georgia, 30501-3715
Phone:770-535-3611
Fax:770-535-7092
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.
NPI Number: 1871860692
NPI Enumeration Date: 22 Nov, 2011
NPI Last Update On: 28 Feb, 2012

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lori Angeleene Modly are as mentioned below.
License NumberSpecializationStateStatus
RN201247Pediatrics GeorgiaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lori Angeleene Modly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
01467542OtherGeorgiaAMERIGROUP
643406OtherGeorgiaWELLCARE
003116595AMedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Lori Angeleene Modly
Po Box 658,
Gainesville, Georgia
Zip: 30503-0658
Phone Number: 770-718-1122
Fax Number: 770-535-7445
Patients can reach Lori Angeleene Modly at 743 Spring St Ne, Gainesville, Georgia or can call to book an appointment on 770-535-3611.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.