Rodgers, Rodney

Rodgers, Rodney is an individual health care provider with primary practice located at 1424 E Main St , Tupelo MS 38804-2956. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Rodgers, Rodney can be contacted via phone (662) 350-3550.

Contact Information

Primary practice address
1424 E Main St Tupelo MS 38804-2956
Phone: (662) 350-3550
Fax: (662) 842-3061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R853214 Mississippi

Profile Details

NPI number 1871875831
LBN Legal business name Rodgers, Rodney
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Feb 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871875831 NPPES
Mississippi MEDICAID 08527898

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