Individual provider · Type 1 NPI

Johnathan A. Rodriquez, ARNP

Nurse Practitioner · Independence, KS

NPI number 1811205214 Active

Practice location

1415 N Penn Ave
Independence, KS 67301-2222

Fax (620) 331-0747

Mailing address

PO Box 360
Neodesha, KS 66757-0360

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X53-75249-032 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811205214

Johnathan A. Rodriquez, ARNP's National Provider Identifier is 1811205214, issued on Sep 20, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Independence, KS. The record was last updated on May 22, 2026.