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

Jeanette Rodriguez

Individual provider Nurse Practitioner · NPI 1669248498

Jeanette Rodriguez is a Nurse Practitioner in San Antonio, Texas. Qualified in 2023, 3 years ago. Practices with Impact Health PC, a 79-clinician group. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

20403 Encino Ledge Unit 592022
San Antonio, TX 78259-0843
Phone: (210) 901-8841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1142892 (TX)

Record details

NPI number1669248498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2023
Last updated in NPPESFebruary 17, 2024
Certification dateFebruary 17, 2024
Mailing address20403 Encino Ledge Unit 592022, San Antonio, TX 78259-0843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated

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