Rodriguez, Julie

Rodriguez, Julie is an sole proprietor health care provider with primary practice located at 1201 Canyon Creek Dr , Temple TX 76502-3299. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Community Health, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rodriguez, Julie can be contacted via phone (254) 410-5102.

Contact Information

Primary practice address
1201 Canyon Creek Dr Temple TX 76502-3299
Phone: (254) 410-5102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 583418 New York
Nursing Service Providers / Community Health 163WC1500X 583418 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 589994 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1000559 Texas

Profile Details

NPI number 1619196714
LBN Legal business name Rodriguez, Julie
Credentials PMHNP, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated May 30th, 2024 - about 2 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 1619196714 NPPES
New York MEDICAID 583418

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