Individual
MR. RODNEY RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
1424 E MAIN ST, TUPELO, MS 38804-2956
(662) 350-3550
(662) 842-3061
Mailing address
1424 E MAIN ST, TUPELO, MS 38804-2956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R853214
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08527898
—
MS
Enumeration date
09/15/2011
Last updated
02/25/2019
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