Individual
JENNIFER MARIE GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 THARP RD, YUBA CITY, CA 95993-9159
(530) 844-5655
(530) 821-2030
Mailing address
900 THARP RD, YUBA CITY, CA 95993-9159
(530) 844-5655
(530) 821-2030
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
10602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10602
LICENSE
CA
Enumeration date
07/18/2006
Last updated
02/20/2023
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