Healthcare Provider Details

I. General information

NPI: 1285447599
Provider Name (Legal Business Name): QUIERRA WINTER RODRIGUEZ WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: QUIERRA WINTER JONES

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 EISENHOWER DR
SAVANNAH GA
31406-3901
US

IV. Provider business mailing address

59 SHOEFSTALL ST
SAVANNAH GA
31407-4854
US

V. Phone/Fax

Practice location:
  • Phone: 912-532-9606
  • Fax:
Mailing address:
  • Phone: 912-532-9606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN246366
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: