Jaymie L Rodriguez, DNP, PMHNP | |
304 W Washington Ave, Richland, MO 65556-7101 | |
(877) 406-2662 | |
Not Available |
Full Name | Jaymie L Rodriguez |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 304 W Washington Ave, Richland, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649740705 | NPI | - | NPPES |
14374335 | Other | MO | CAQH |
420064566 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2018040552 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Richland Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
Mailing Address | Practice Location Address |
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Jaymie L Rodriguez, DNP, PMHNP Po Box 777, Richland, MO 65556-0777 Ph: (877) 406-2662 | Jaymie L Rodriguez, DNP, PMHNP 304 W Washington Ave, Richland, MO 65556-7101 Ph: (877) 406-2662 |
Lisa King, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 573-765-5141 Fax: 573-765-3824 | |
Kristi D Atkins, CNP-F Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 573-765-5141 Fax: 573-765-3824 | |
Danielle Fowers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 877-406-2662 | |
Angelia Marie Cayou, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 W Washington Ave, Richland, MO 65556 Phone: 573-765-5131 |