Individual provider · Type 1 NPI

Tara Jayne Rodriguez, RN

General Practice Registered Nurse · Yukon, OK

NPI number 1225815731 Active

Practice location

12125 SW 17th St
Yukon, OK 73099-4564

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XR0110289 (OK)

General Practice Registered Nurse: Definition to come...

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About NPI 1225815731

Tara Jayne Rodriguez, RN's National Provider Identifier is 1225815731, issued on Sep 11, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Yukon, OK. The record was last updated on Sep 11, 2023.