Individual
MRS. FELISA A JACKSON GOODWINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MAC, CCMA
Contact information
Practice address
100 US - 11, LIVINGSTON, AL 35470
(251) 776-2627
Mailing address
PO BOX 2198, SEMMES, AL 36575-2198
(251) 776-2627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WC1500X
Community Health Registered Nurse
Primary
6-000742
AL
183700000X
Pharmacy Technician
T72125
AL
Other
Enumeration date
06/29/2023
Last updated
05/06/2025
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