Individual
JENNIFER GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
75 SYLVANIA DR, DAYTON, OH 45440-3237
(937) 320-5050
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0030876
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030876
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500240
—
OH
Enumeration date
03/24/2022
Last updated
02/09/2026
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