Most Relevant Information
Provider Data
| NPI Number: | 1003401050 |
| Provider Name: | RODNEY DUCKETT NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1030797 |
Most Important Dates
| Enumeration Date: | 03/02/2021 |
| Last Updated: | 03/02/2021 |
Provider Practice Location
3605 MELROSE LN
TEMPLE
TX
765022122
Practice Location Phone/Fax
| Phone: | 2545980240 |
| Fax: |
Provider Mailing Location
3605 MELROSE LN
TEMPLE
TX
765022122
Provider Mailing Phone/Fax
| Phone: | 2545980240 |
| Fax: |