Provider Demographics
NPI:1285447599
Name:RODRIGUEZ, QUIERRA WINTER (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:QUIERRA
Middle Name:WINTER
Last Name:RODRIGUEZ
Suffix:
Gender:
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:QUIERRA
Other - Middle Name:WINTER
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:59 SHOEFSTALL ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31407-4854
Mailing Address - Country:US
Mailing Address - Phone:912-532-9606
Mailing Address - Fax:
Practice Address - Street 1:1395 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3901
Practice Address - Country:US
Practice Address - Phone:912-532-9606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN246366363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health