Goodwin, Jennifer M

Goodwin, Jennifer M is an individual health care provider with primary practice located at 1330 Cedar Ln Ste 900 Bldg B , Tullahoma TN 37388-2286. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goodwin, Jennifer M can be contacted via phone (931) 455-2674.

Contact Information

Primary practice address
1330 Cedar Ln Ste 900 Bldg B Tullahoma TN 37388-2286
Phone: (931) 455-2674
Fax: (931) 455-8983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN11120 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN11120 Tennessee

Profile Details

NPI number 1518185693
LBN Legal business name Goodwin, Jennifer M
Credentials FNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated May 14th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518185693 NPPES
Tennessee MEDICAID 1504384

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