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Individual
MRS. TRENA JILL GOODWIN
Active
Individual
MRS. TRENA JILL GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC, APRN
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN.121852
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2245145
—
OH
01
—
RX.01444
PRESCRIPTIVE AUTHORITY
OH
Enumeration date
11/09/2006
Last updated
10/12/2016
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