Individual
BETTY JEAN GOODPASTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2809 STERLING DR, TALLAHASSEE, FL 32312-3029
(850) 385-7190
(850) 385-7190
Mailing address
2809 STERLING DR, TALLAHASSEE, FL 32312-3029
(850) 385-7190
(850) 385-7190
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2137062
FL
Other
Enumeration date
02/14/2007
Last updated
08/14/2007
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