Individual
JACKELINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5465
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5465
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2340594
MA
Other
Enumeration date
12/01/2022
Last updated
09/05/2024
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