Individual
JACKIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2669
Mailing address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2669
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN 260536
MA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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