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Tara Jayne Rodriguez, RN
General Practice Registered Nurse in Yukon, Oklahoma
NPI 1225815731

Tara Jayne Rodriguez is a General Practice Registered Nurse based in Yukon, OK and is specialized in General Practice. Tara Jayne Rodriguez practices in Yukon, OK and has the professional credentials of RN. The NPI Number for Tara Jayne Rodriguez is 1225815731 and holds a License No. R0110289 (Oklahoma).

The current practice location address for Tara Jayne Rodriguez is 12125 Sw 17Th St, Yukon, OK and can be reached out via phone at 405-965-6470.

Location: 12125 Sw 17Th St, Yukon, OK, 73099-4564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225815731
Provider Name
Tara Jayne Rodriguez
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
12125 Sw 17Th St, Yukon, OK, 73099-4564
Phone Number
405-965-6470
Fax Number
Provider Enumeration Date
09/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12125 Sw 17Th St
City
Yukon
State
Oklahoma
Zip
73099-4564
Phone Number
405-965-6470
Fax Number
person
Provider Business Mailing Address Details
Address
12125 Sw 17Th St
City
Yukon
State
Oklahoma
Zip
73099-4564
Phone Number
405-965-6470
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
R0110289 (Oklahoma)
Definition
Definition to come...
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