Individual
LEEANN GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
7939 HONEYGO BLVD STE 224, NOTTINGHAM, MD 21236-5992
(410) 933-3700
Mailing address
4555 GOLDEN MEADOW DR, PERRY HALL, MD 21128-9037
(443) 693-3429
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R200697
MD
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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