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NPI Code Detail

MEDICARE: MS. MEGAN RODGERS CNP

MEDICARE:  MS. MEGAN  RODGERS  CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA005977AR
2363LF0000XFamily Nurse Practitioner2015018037MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881076495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN RODGERS CNP
Provider Business Mailing Address
First Line : 311 N CLYDE MORRIS BLVD STE 510
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-2757
Country : US
Telephone Number : 386-425-5503
Fax Number :
Provider Business Practice Location Address
First Line : 311 N CLYDE MORRIS BLVD STE 510
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-2757
Country : US
Telephone Number : 386-425-5503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2015
Last Update Date : 10/05/2021

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Directions to “ MS. MEGAN RODGERS CNP” Practice Location

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