Individual
JENNIFFER ELY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2225 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6417
(541) 273-6206
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1075814
TX
363LF0000X
Family Nurse Practitioner
Primary
202213843NPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500812248
—
OR
Enumeration date
07/12/2022
Last updated
03/13/2025
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