Individual
JASON HOWARD RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4704 MARY HALL LN, CHATTANOOGA, TN 37416-2613
(423) 645-5369
Mailing address
4704 MARY HALL LN, CHATTANOOGA, TN 37416-2613
(423) 645-5369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20284
TN
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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