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Individual

NICOLE GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
122 W BROADWAY ST, NEW LEXINGTON, OH 43764-1001
(740) 960-0380
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0038381
OH

Other

Enumeration date
06/03/2025
Last updated
06/03/2025
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