# JESSICA RODRIGUEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477127827
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN11013304 | FL | Yes |

## Other

- **Enumeration date:** 05/19/2021
- **Last updated:** 09/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1407805021 | GROUP NPI ASSOCIATION | — |
| 01 | — | 15154379 | CAQH | — |
| 01 | — | NX369 | MEDICARE PTAN | — |