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

Jonathan Bryce Rudolph

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1346085925

Jonathan Bryce Rudolph is a Nurse Practitioner in New Braunfels, Texas. Qualified in 2024, 2 years ago. Practices with Affective Mental Wellness LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

705 Landa St Ste B
New Braunfels, TX 78130-6163
Phone: (210) 360-1590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1190388 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 935768 (TX)

Record details

NPI number1346085925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2024
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address705 Landa St Ste B, New Braunfels, TX 78130-6163

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Affective Mental Wellness Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New Braunfels