Individual
JODENE MARIE NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 PROFESSIONAL DR STE 220, LAWRENCEVILLE, GA 30046-7649
(770) 709-6922
(770) 709-6910
Mailing address
601 PROFESSIONAL DR STE 220, LAWRENCEVILLE, GA 30046-7649
(770) 709-6922
(770) 709-6910
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
RN228794
GA
363LF0000X
Family Nurse Practitioner
Primary
RN228794
GA
Other
Enumeration date
05/02/2019
Last updated
04/14/2026
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