Individual
MELISSA SIMONA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, PMHNP-BC,
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
13087 SMITHS NECK RD, CARROLLTON, VA 23314-3613
(757) 593-1987
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024186707
VA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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