Individual provider · Type 1 NPI
Jacqueline H. Moder
Nurse Practitioner · Waycross, GA
Practice location
1912 Memorial Dr Ste E
Waycross, GA 31501-0989
Mailing address
6115 Cottonwood Ln
Blackshear, GA 31516-5992
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 11006710 (FL) |
| Nurse Practitioner Primary | 363L00000X | RN240089 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
Other nurse practitioner providers in Waycross
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- Betsy Erin Tanner, MSN-FNP, BCNurse Practitioner Waycross, GA NPI 1295387751
- Shauntile Anderson, NPNurse Practitioner Waycross, GA NPI 1316640238
- Kristen Hope Ganas, RNNurse Practitioner Waycross, GA NPI 1336627421
- Jana Revels, NPNurse Practitioner Waycross, GA NPI 1336791425
About NPI 1568071777
Jacqueline H. Moder's National Provider Identifier is 1568071777, issued on Jul 24, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waycross, GA. The record was last updated on Jul 24, 2020.