Individual
PRISCILLA GOOSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
306 HOSPITAL DR # 202D, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1516
(606) 237-4955
Mailing address
306 HOSPITAL DR STE 202D, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
42926
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008931
—
WV
Enumeration date
05/16/2006
Last updated
04/27/2021
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