Organization
GOODNIGHT FAMILY HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN LAUREL GOODNIGHT APRN (OWNER/FAMILY NURSE PRACTITIONER)
(479) 216-1016
Entity
Organization
Contact information
Practice address
403 MORROW ST N STE E, MENA, AR 71953-4324
(479) 385-3055
(479) 385-3054
Mailing address
113 MYERS LN, MENA, AR 71953-8944
(479) 216-1016
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288894762
—
AR
01
—
2I7546
MEDICARE
AR
Enumeration date
08/18/2022
Last updated
05/30/2024
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