Individual
VALERIE GOODALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
3230 WISCONSIN AVE STE A, JOPLIN, MO 64804-4073
(417) 347-7800
Mailing address
3230 WISCONSIN AVE STE A, JOPLIN, MO 64804-4073
(507) 512-0350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021033947
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2024025462
MO
Other
Enumeration date
08/26/2021
Last updated
06/28/2024
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