JACQUELINE H MODER – Nurse Practitioner, NPI 1568071777
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACQUELINE H MODER
6115 COTTONWOOD LN
BLACKSHEAR, GA 315165992
Phone: (912) 286-4400
Type: Mailing
1912 MEMORIAL DR STE E
WAYCROSS, GA 315010989
Phone: (912) 283-7100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31516)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| Emergency Medicine | GA | |
| - | GA | |
| Physician Assistant | AZ |
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