Individual
MRS. JENNIFER ELAINE GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NEAL AVE, MARION CENTER, PA 15759-0267
(724) 397-5571
(724) 397-2800
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7196
(724) 357-7279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN546963
PA
Other
Enumeration date
05/27/2020
Last updated
07/02/2021
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