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Individual

MRS. TRENA JILL GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHCNS-BC, APRN

Contact information

Practice address
10200 ALLIANCE RD, SUITE 150, BLUE ASH, OH 45242-4753
(513) 891-0650
Mailing address
9973 TIMBERS DR, CINCINNATI, OH 45242-5551
(513) 791-2046

Taxonomy

Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN.121852
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2245145
OH
01
RX.01444
PRESCRIPTIVE AUTHORITY
OH
Enumeration date
11/09/2006
Last updated
10/12/2016
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