| Doctor Name: | MRS. JEANNETTE EDITH RODRIGUEZ |
| NPI Number: | 1043305469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 9606 |
| Business Practice Address: | 3950 N A W Grimes Blvd N301a Round Rock, TX - 786653540 |
| Business Phone Number: | 8778005722 |
| Business Fax Number: | 5122181377 |
| Mailing Address: | 205 E University Ave, Suite 200 GEORGETOWN |
| State: | TX |
| Postal Code: | 786266814 |
| Phone Number: | 5126860207 |
| Fax Number: | 5128692940 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 9606 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |