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Individual
JAY RODRIGUEZ
Active
Individual
JAY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
912921
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
908166
MS
Other
Enumeration date
06/14/2025
Last updated
08/25/2026
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