Individual
DR. JENNIFER J RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9224
(601) 703-3047
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9224
(601) 703-3047
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M4480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05054344
—
MS
05
—
103979
—
AL
01
—
730-18822
BCAL
AL
01
—
P006442287
MEDICARE RAIL ROAD
MS
Enumeration date
09/07/2006
Last updated
05/13/2025
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