Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1916 W 21ST ST, CLOVIS, NM 88101-4026
(575) 935-8339
Mailing address
1916 W 21ST ST, CLOVIS, NM 88101-4026
(575) 935-8339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11024841
FL
363LF0000X
Family Nurse Practitioner
Primary
76635
NM
Other
Enumeration date
03/09/2023
Last updated
10/08/2024
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