Goodson, Jennifer

Goodson, Jennifer is an individual health care provider with primary practice located at 1336 Highway 54 W Bldg 200 , Fayetteville GA 30214-4574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goodson, Jennifer can be contacted via phone (770) 460-9777.

Contact Information

Primary practice address
1336 Highway 54 W Bldg 200 Fayetteville GA 30214-4574
Phone: (770) 460-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN124143 Georgia

Profile Details

NPI number 1104912054
LBN Legal business name Goodson, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 23rd, 2020 - about 6 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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