Individual
MRS. CHERYL LOUISE GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
200 NEW YORK AVE, STE 160, OAK RIDGE, TN 37830-5212
(865) 835-5138
(865) 835-5139
Mailing address
200 NEW YORK AVE, STE 160, OAK RIDGE, TN 37830-5212
(865) 835-5138
(865) 835-5139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000005366
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522208
—
TN
Enumeration date
09/24/2006
Last updated
04/29/2021
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