Godwin, Laura Charlene

Godwin, Laura Charlene is an individual health care provider with primary practice located at 2175 Chambliss Ave Nw Ste D, Cleveland TN 37311-3842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Godwin, Laura Charlene can be contacted via phone (423) 472-1140.

Contact Information

Primary practice address
2175 Chambliss Ave Nw Ste D Cleveland TN 37311-3842
Phone: (423) 472-1140
Fax: (423) 339-2242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN0000013203 Tennessee

Profile Details

NPI number 1114197522
LBN Legal business name Godwin, Laura Charlene
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2008
Last updated Aug 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114197522 NPPES
Tennessee MEDICAID 1507955

Popular Providers