Goodman, Shenavian Fredita

Goodman, Shenavian Fredita is an individual health care provider with primary practice located at 1601 Dunn Ave Apt 504 , Jacksonville FL 32218-4737. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Goodman, Shenavian Fredita can be contacted via phone (904) 379-4931.

Contact Information

Primary practice address
1601 Dunn Ave Apt 504 Jacksonville FL 32218-4737
Phone: (904) 379-4931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5154281 Florida

Profile Details

NPI number 1679790737
LBN Legal business name Goodman, Shenavian Fredita
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Dec 9th, 2008 - about 18 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.

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