Individual
JANE R GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
545 WINDSOR DR, MADISON, MS 39110-9550
(601) 750-1513
Mailing address
545 WINDSOR DR, MADISON, MS 39110-9550
(601) 750-1513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
576786
MS
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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