Individual
JEFFREY LAWRENCE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, CNP
Contact information
Practice address
3086 SR 160, GALLIPOLIS, OH 45631-8409
(740) 446-5500
(740) 446-4951
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN.391404
OH
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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