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Individual

JACQUELYN MARIE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1102 BARCLAY ST, SAN ANTONIO, TX 78207-7161
(210) 233-7000
Mailing address
10827 AXIS XING, SAN ANTONIO, TX 78245-3453
(210) 849-4147

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1029228
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1029228
TX

Other

Enumeration date
05/04/2021
Last updated
01/19/2024
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