Rhodes, Jena Lyn
Rhodes, Jena Lyn is an individual health care provider with primary practice located at 2702 N University Dr , Nacogdoches TX 75965-2922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rhodes, Jena Lyn can be contacted via phone (936) 585-4130.Contact Information
Primary practice address
2702 N University Dr
Nacogdoches TX 75965-2922
Phone: (936) 585-4130
Fax: (936) 585-4134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP129022 | Texas |
Profile Details
| NPI number | 1073983102 |
|---|---|
| LBN Legal business name | Rhodes, Jena Lyn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2015 |
| Last updated | Mar 2nd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073983102 | NPPES |
| Texas | MEDICAID | 352023101 |
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