JENNIFER ALICIA RODRIGUEZ NPI 1386485712

NPI Information

  • NPI: 1386485712
  • Provider Name: JENNIFER ALICIA RODRIGUEZ
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1520 E HAMMER LN STE 109
    FORT MOHAVE, AZ
    ZIP 86426
  • Phone: (928) 788-4949

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NPI Details

Jennifer Alicia Rodriguez is a family nurse practitioner in Fort Mohave, AZ with 4 years of experience. Jennifer Alicia Rodriguez NPI is 1386485712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1520 E HAMMER LN STE 109
FORT MOHAVE, AZ
ZIP 86426-665
Phone: (928) 788-4949

The NPI 1386485712 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2024 and was last updated on 5/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily307944ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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