Individual
MISTY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
207 MARSHALL DR, PERRY, FL 32347-1835
(908) 873-9940
Mailing address
2511 OPAL CT, TALLAHASSEE, FL 32309-7275
(908) 873-9940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00880800
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
11013559
FL
Other
Enumeration date
11/25/2018
Last updated
06/09/2025
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