Shenavian Fredita Goodman in Jacksonville - Licensed Practical Nurse
Shenavian Fredita Goodman - NPI 1679790737
Shenavian Fredita Goodman is a Licensed Practical Nurse in Jacksonville, Florida. Shenavian Fredita Goodman practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shenavian Fredita Goodman is 1679790737. The last update date is 2008-12-09.
Shenavian Fredita Goodman's current location address is 1601 Dunn Ave Apt 504, Jacksonville, Florida. You can contact this provider via phone number 9043794931. The mailing address for Shenavian Fredita Goodman is 1601 Dunn Ave Apt 504, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shenavian Fredita Goodman |
|---|---|
| Address | 1601 Dunn Ave Apt 504, Jacksonville, Florida |
| Phone Number | 9043794931 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1679790737 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2008-12-09 |
Provider Mailing Address Detail
| Address | 1601 Dunn Ave Apt 504 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322184737 |
| Phone Number | 9043794931 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN5154281 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shenavian Fredita Goodman by the Centers for Medicare & Medicaid Services?
The Shenavian Fredita Goodman has been assigned the NPI (National Provider Identifier) 1679790737 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shenavian Fredita Goodman?
The Shenavian Fredita Goodman is physically situated at 1601 Dunn Ave Apt 504, in the city of Jacksonville, state of FL, with the postal code 322184737.
What is Shenavian Fredita Goodman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shenavian Fredita Goodman is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.
When was the Shenavian Fredita Goodman's 1679790737 issued?
The Shenavian Fredita Goodman's 1679790737 was issued on 2007-04-19.
As of what date was the information pertaining to Shenavian Fredita Goodman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shenavian Fredita Goodman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-12-09.