Individual
JANET MARIE GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-4100
Mailing address
391 E TEAGUE BAY DR, ST AUGUSTINE, FL 32092-3099
(305) 801-2483
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9380130
FL
363L00000X
Nurse Practitioner
Primary
APRN11005574
FL
Other
Enumeration date
01/17/2020
Last updated
03/12/2021
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