Individual
JAY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 HARRISON PLZ, FLORENCE, AL 35632-0002
(256) 765-4100
Mailing address
640 COUNTY ROAD 1303, GUNTOWN, MS 38849-4651
(662) 279-7084
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
912921
MS
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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