Individual
JACKELINE VICTORIA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 UNION BLVD, TOTOWA, NJ 07512-2442
(862) 229-0559
Mailing address
221 WAYNE AVE, PATERSON, NJ 07502-1912
(551) 208-9202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14860800
NJ
Other
Enumeration date
05/24/2023
Last updated
06/21/2023
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