Jacqueline H Moder
Jacqueline H Moder is a Nurse Practitioner in Waycross, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2020.
- Licensed in
- FL, GA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1912 Memorial Dr Ste EWaycross, GA 31501-0989
Phone: (912) 283-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence RN240089 (GA) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 11006710 (FL) |
Record details
| NPI number | 1568071777 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 24, 2020 |
| Last updated in NPPES | July 24, 2020 |
| Certification date | July 24, 2020 |
| Mailing address | 6115 Cottonwood Ln, Blackshear, GA 31516-5992 |
Other providers in Waycross
-
Mrs. Olivia Ruth Gibson, RN/APRN
515 Riverside Dr, Waycross, GA 31501-5316 · (912) 283-5729
-
Mr. James Aaron Houser, FNP-C
1206 Alice St, Waycross, GA 31501-4525 · (912) 285-1140
-
Leanna Jaye Lewis, NP-C
2100 Riverside Ave, Waycross, GA 31501-7020 · (912) 490-7777
-
Scott Mathis, APRN, BC
1218 Alice St, Waycross, GA 31501-4525 · (912) 284-9800
-
Mrs. Andrea D Moody, NP
1921 Alice St 4B, Waycross, GA 31501-6200 · (912) 285-5690
-
Deirdre K O'Brien, NP-C
501 W Oneida St, Waycross, GA 31501-5337 · (912) 287-1130
-
Jana Revels, NP
1900 Tebeau St, Waycross, GA 31501-6357 · (912) 283-3030
-
John Roger Rowell, NP
1900 Tebeau St, Waycross, GA 31501-6357 · (912) 283-3030