Goodwin, Jessica R

Goodwin, Jessica R is an individual health care provider with primary practice located at 500 N Highland Ave , Sherman TX 75092-7354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Goodwin, Jessica R can be contacted via phone (903) 870-5502.

Contact Information

Primary practice address
500 N Highland Ave Sherman TX 75092-7354
Phone: (903) 870-5502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP06403 Louisiana

Profile Details

NPI number 1902136187
LBN Legal business name Goodwin, Jessica R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2010
Last updated May 24th, 2011 - about 15 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 1902136187 NPPES
Louisiana MEDICAID 2141953

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