| Jessica Rodriguez, APRN | |
|
1916 W 21st St, Clovis, NM 88101-4026 | |
| (575) 935-8339 | |
| Not Available |
| Full Name | Jessica Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1916 W 21st St, Clovis, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518667328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11024841 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 76635 (New Mexico) | Primary |
| Entity Name | White Sands Family Practice Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972528891 PECOS PAC ID: 6901702976 Enrollment ID: O20031210000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Rodriguez, APRN 1916 W 21st St, Clovis, NM 88101-4026 Ph: (575) 935-8339 | Jessica Rodriguez, APRN 1916 W 21st St, Clovis, NM 88101-4026 Ph: (575) 935-8339 |
Edna R Zapata, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St Ste A1, Clovis, NM 88101 Phone: 575-762-8055 Fax: 575-723-3351 | |
Boniface Ndungu Gitau, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2504 Ashford Dr, Clovis, NM 88101 Phone: 316-768-7991 | |
Ms. Marla Dianne Buckles, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 W Casablanca Ave, 27 Medical Group Bldg 1400 Cannon Afb, Clovis, NM 88103 Phone: 505-784-6608 Fax: 505-784-6028 | |
Margaret Hemm, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1521 W 13th St, Clovis, NM 88101 Phone: 575-769-0888 Fax: 575-763-9154 | |
Brittnee Rene Sharp, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 N Main St Ste 19a, Clovis, NM 88101 Phone: 575-769-0049 | |
Brandi Deon North, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 Avondale Blvd, Clovis, NM 88101 Phone: 575-309-4805 | |
Carolyn Vavrecan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1521 W 13th St, Clovis, NM 88101 Phone: 575-769-0888 |