Individual
JENNIFER GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18 MARKET ST STE C, MOUNT CLEMENS, MI 48043-7403
(586) 783-2222
(583) 783-6380
Mailing address
1943 HOLLAND AVE, PORT HURON, MI 48060-1519
(810) 357-4945
(810) 985-5454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704281359
MI
Other
Enumeration date
12/11/2020
Last updated
03/21/2024
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