Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Rodtang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801649736

Jacquelyn Rodtang is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1801649736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2024
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

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