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
Fax: (936) 585-4134
Website:

Health care specialties

SpecialtyCodeLicense #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 6 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 1073983102 NPPES
Texas MEDICAID 352023101

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