Individual
GUADALUPE JISSELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
49 TURNER ST, MABEN, MS 39750-9157
(662) 263-5900
Mailing address
PO BOX 395, KOSCIUSKO, MS 39090-0395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904979
MS
Other
Enumeration date
01/24/2022
Last updated
05/30/2023
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