Individual
KEITA ZAKIYA JACKSON-GOODRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CNM
Contact information
Practice address
2 JENNIFER CT, CARLISLE, PA 17015-7694
(443) 452-7930
Mailing address
3817 CHATHAM RD, ARLINGTON, MD 21215-5409
(443) 452-7930
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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