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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871875831 | NPPES |
Mississippi | MEDICAID | 08527898 |
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