Individual
JOSHUA GOEGLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
Mailing address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
886716
MS
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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