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Provider Profile

Jacqueline H. Moder

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At a glance

About Jacqueline Moder

Jacqueline H. Moder is a nurse practitioner based in Waycross, GA. The provider's National Provider Identifier (NPI) is 1568071777.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. RN240089As reported
FL licenceAs reported to the NPI registry
No. 11006710As reported
NPINational Provider Identifier
1568071777Issued 2020

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jacqueline H. Moder specialize in?

Jacqueline H. Moder is a nurse practitioner in Waycross, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jacqueline H. Moder located?

Jacqueline H. Moder is listed at 1912 Memorial Dr Ste E, Waycross, GA 31501. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacqueline H. Moder's phone number?

The number on file is (912) 283-7100. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jacqueline H. Moder?

Jacqueline H. Moder's National Provider Identifier is 1568071777. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Jacqueline H. Moder have?

Jacqueline H. Moder has 6+ years experience. Registered with an NPI since 2020. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Jacqueline H. Moder's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jacqueline H. Moder. If this is you, claiming it is free.

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