Individual
JENNIFER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8000
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95086693
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018157
CA
Other
Enumeration date
03/06/2020
Last updated
12/10/2021
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