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Individual
TIMIKA SHANTE GOODSON
Active
Individual
TIMIKA SHANTE GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN1055089
DC
163WH0200X
Home Health Registered Nurse
R228537
MD
363LF0000X
Family Nurse Practitioner
R228537
MD
363LF0000X
Family Nurse Practitioner
RN1055089
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R228537
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN1055089
DC
Other
Enumeration date
10/23/2020
Last updated
01/30/2024
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