Individual
CARLIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 RIVER RD, JEFFERSON, LA 70121-4227
(504) 842-3910
(504) 842-4533
Mailing address
1515 RIVER RD, JEFFERSON, LA 70121-4227
(504) 842-3910
(504) 842-4533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
211582
LA
Other
Enumeration date
04/01/2020
Last updated
06/17/2025
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