Ms. Modupe D Mcintosh
CPNP | Nurse Practitioner - Pediatrics
13577 Feather Sound Dr, Clearwater
Florida, 33762-2258
904-902-4408
Ms. Modupe D Mcintosh is a Clearwater, Florida based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Ms. Modupe D Mcintosh is APRN11031023 for Psych/Mental Health in Florida. Her current practice location is 13577 Feather Sound Dr, Clearwater. Patients can reach her at 904-902-4408 or can fax her at 904-420-4745. Ms. Modupe D Mcintosh is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1174522916.
Ms. Modupe D Mcintosh 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:
Ms. Modupe D Mcintosh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Modupe D Mcintosh |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP |
| Practice Address: | 13577 Feather Sound Dr, Clearwater,
Florida, 33762-2258 |
| Phone: | 904-902-4408 |
| Fax: | 904-420-4745 |
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: | 1174522916 |
| NPI Enumeration Date: | 14 Jul, 2005 |
| NPI Last Update On: | 20 Mar, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Modupe D Mcintosh are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11031023 | Psych/Mental Health | Florida | Primary | |
| RN092844 | Pediatrics | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Modupe D Mcintosh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 554500072A | Medicaid | Georgia | |
| 554500072D | Medicaid | Georgia | |
| 554500072E | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Modupe D Mcintosh
635 Beaver Ruin Rd Nw, Suite B
Lilburn, Georgia |
| Zip: | 30047-3474 |
| Phone Number: | 678-807-2230 |
| Fax Number: | 770-267-5710 |
Patients can reach Ms. Modupe D Mcintosh at
13577 Feather Sound Dr, Clearwater, Florida or can
call to book an appointment on 904-902-4408.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.