Individual
BRANDON JAMES RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
7751 BELFORT PKWY STE 120, JACKSONVILLE, FL 32256-6921
(904) 372-3943
Mailing address
7751 BELFORT PKWY STE 120, JACKSONVILLE, FL 32256-6921
(904) 372-3943
(904) 212-1618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-162411
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-162411
ALABAMA BOARD OF NURSING
AL
Enumeration date
01/22/2019
Last updated
09/19/2023
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