Individual
JESSICA LEE RODGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-4289
(253) 403-3131
Mailing address
2234 WALLACE LOOP, DUPONT, WA 98327-8789
(254) 220-1759
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60975817
WA
363L00000X
Nurse Practitioner
Primary
AP61580884
WA
Other
Enumeration date
04/12/2024
Last updated
08/30/2024
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