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Jacqueline H Moder
Nurse Practitioner in Waycross, Georgia
NPI 1568071777

Jacqueline H Moder is a Nurse Practitioner based in Blackshear, GA. Jacqueline H Moder practices in Waycross, GA. The NPI Number for Jacqueline H Moder is 1568071777 and holds a License No. 11006710 (Georgia).

The current practice location address for Jacqueline H Moder is 1912 Memorial Dr Ste E, Waycross, GA and can be reached out via phone at 912-283-7100.

Location: 1912 Memorial Dr Ste E, Waycross, GA, 31516-5992
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568071777
Provider Name
Jacqueline H Moder
Credential
Provider Entity Type
Individual
Gender
Female
Address
1912 Memorial Dr Ste E, Waycross, GA, 31516-5992
Phone Number
912-283-7100
Fax Number
Provider Enumeration Date
07/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1912 Memorial Dr Ste E
City
Waycross
State
Georgia
Zip
31501-0989
Phone Number
912-283-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1912 Memorial Dr Ste E
City
Waycross
State
Georgia
Zip
31501-0989
Phone Number
912-283-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
11006710 (Florida)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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