| Doctor Name: | JESSICA RODRIGUEZ |
| NPI Number: | 1013304484 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 112730 |
| Business Practice Address: | 601 Highway 6 W Iowa City, IA - 522462209 |
| Business Phone Number: | 3193380581 |
| Business Fax Number: | |
| Mailing Address: | 895 Oak Park Cir, MARION |
| State: | IA |
| Postal Code: | 523025941 |
| Phone Number: | 3193899272 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2015 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | 112730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |