Individual
SHANA GOODNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
207 31 ST AVE SE, MOULTRIE, GA 31768
(229) 217-0088
(229) 217-0087
Mailing address
207 31ST AVE SE, MOULTRIE, GA 31768-6703
(229) 217-0088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN164651
GA
Other
Enumeration date
09/08/2010
Last updated
10/13/2025
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