| Jasmine Rodriguez, MSN FNP-C | |
|
6649 Chrisphalt Dr Ste 103, Bath, PA 18014-8500 | |
| (484) 287-1111 | |
| (484) 287-1117 |
| Full Name | Jasmine Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6649 Chrisphalt Dr Ste 103, Bath, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801673447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP028445 (Pennsylvania) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN652894 (Pennsylvania) | Secondary |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Schuylkill Health System Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Rodriguez, MSN FNP-C 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Jasmine Rodriguez, MSN FNP-C 6649 Chrisphalt Dr Ste 103, Bath, PA 18014-8500 Ph: (484) 287-1111 |
Mrs. Melissa Bauman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 586 Moorsetown Dr., Moorestown Family Practice, Bath, PA 18014 Phone: 610-746-2010 Fax: 610-746-2060 |