Individual
MRS. ADRIENNE BOLAN GOGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
875 FRIENDSHIP RD, TALLASSEE, AL 36078
(334) 283-3111
(334) 283-3656
Mailing address
875 FRIENDSHIP ROAD, TALLASSEE, AL 36078
(334) 283-3111
(334) 283-3656
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-155461
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261689
—
AL
Enumeration date
09/25/2020
Last updated
12/01/2023
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