Provider Demographics
NPI:1124454707
Name:MOOD, ROCHELLA RABON (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLA
Middle Name:RABON
Last Name:MOOD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 MCFARLIN LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5836
Mailing Address - Country:US
Mailing Address - Phone:803-235-6322
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 71
Practice Address - Street 2:ARAFAT STREET
Practice Address - City:AMMAN
Practice Address - State:JORDAN
Practice Address - Zip Code:11118
Practice Address - Country:JO
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN082786363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily