Individual
JENNIFER ANN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
508 HAMBURG TPKE STE 202, WAYNE, NJ 07470-8482
(973) 956-1404
(973) 956-1646
Mailing address
PO BOX 95000 LB#7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01238700
NJ
Other
Enumeration date
12/21/2021
Last updated
05/26/2022
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