Individual
JAMIE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 PONTIAC AVE, WEBSTER, MA 01570-1629
(508) 943-3889
Mailing address
31 RADMORE ST, WORCESTER, MA 01602-1740
(347) 573-0552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2308600
MA
Other
Enumeration date
07/24/2019
Last updated
11/06/2019
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