Individual
KRISTEN JOY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 GREENFIELD ST, WILMINGTON, NC 28401-6456
(910) 798-3500
(910) 798-7834
Mailing address
1650 GREENFIELD ST, WILMINGTON, NC 28401-6456
(910) 798-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4105
SC
363LF0000X
Family Nurse Practitioner
Primary
5007406
NC
Other
Enumeration date
01/14/2010
Last updated
03/02/2020
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