Jacqueline Moder

NPI 1568071777 · on the registry since 2020

Practice

Address: 1912 Memorial Dr Ste E
Waycross, GA 31501
Phone: (912) 283-7100
Organisation at this address: Applecare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Also registered as: Nurse Practitioner
Licence states on file: FL, GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia