Jennifer Goodson is a Family in Fayetteville, Georgia. Jennifer Goodson practices all healthcare services and medical treatments related to Family. The NPI Number for Jennifer Goodson is 1104912054. The last update date is 2020-10-23.
Jennifer Goodson's current location address is 1336 Highway 54 W Bldg 200, Fayetteville, Georgia. You can contact this provider via phone number 7704609777. The mailing address for Jennifer Goodson is 1336 Highway 54 W Bldg 200, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Goodson |
|---|---|
| Address | 1336 Highway 54 W Bldg 200, Fayetteville, Georgia |
| Phone Number | 7704609777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1104912054 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2020-10-23 |
Provider Mailing Address Detail
| Address | 1336 Highway 54 W Bldg 200 |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302144574 |
| Phone Number | 7704609777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN124143 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer Goodson?
The Jennifer Goodson has been issued the NPI (National Provider Identifier) 1104912054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jennifer Goodson is physically located?
The Jennifer Goodson is situated at the following address: 1336 Highway 54 W Bldg 200, Fayetteville, GA 302144574.
What is Jennifer Goodson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer Goodson is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When did the Jennifer Goodson receive its 1104912054?
The Jennifer Goodson was issued its 1104912054 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jennifer Goodson last refreshed?
The information related to the Jennifer Goodson, including its address, specialty, and other relevant details, was last updated on 2020-10-23.