Individual
MRS. JULIA JASKWHICH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1616 ASHLEY RIVER RD, CHARLESTON, SC 29407-5902
(843) 556-9177
(843) 571-2742
Mailing address
1620 ASHLEY RIVER RD, BUILDING J, CHARLESTON, SC 29407-5902
(843) 556-8177
(843) 571-2742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN109735
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4422
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
02/09/2009
Last updated
09/25/2019
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