Individual
MRS. JACKLYN ELMORE GOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
380 KNOLLWOOD ST STE 505, WINSTON SALEM, NC 27103-1884
(833) 357-2966
Mailing address
3710 ROSEHEIM CT, GREENSBORO, NC 27405-4967
(336) 282-3746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
225659
NC
Other
Enumeration date
03/13/2015
Last updated
02/03/2020
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