Jackson, Pharnethia Goodman

Jackson, Pharnethia Goodman is an individual health care provider with primary practice located at 2760 Godwin Blvd Ste 100 , Suffolk VA 23434-8501. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Pharnethia Goodman can be contacted via phone (757) 983-8650.

Contact Information

Primary practice address
2760 Godwin Blvd Ste 100 Suffolk VA 23434-8501
Phone: (757) 983-8650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001120025 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0017137032 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024164290 Virginia

Profile Details

NPI number 1124164173
LBN Legal business name Jackson, Pharnethia Goodman
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jan 16th, 2024 - about 2 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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