Provider Demographics
NPI:1740070655
Name:RODRIGUEZ, JENIFER
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 PINE ST P. O. BOX 81
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:NE
Mailing Address - Zip Code:68944
Mailing Address - Country:US
Mailing Address - Phone:402-519-3025
Mailing Address - Fax:402-519-3025
Practice Address - Street 1:106 PINE ST P. O. BOX 81
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:NE
Practice Address - Zip Code:68944
Practice Address - Country:US
Practice Address - Phone:402-519-3025
Practice Address - Fax:402-519-3025
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant