Individual
ALANTA JADE GOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
407 INTERCHANGE DR, FULTON, MS 38843-6029
(662) 205-5775
Mailing address
407 INTERCHANGE DR, FULTON, MS 38843-6029
(662) 205-5775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906117
MS
Other
Enumeration date
11/10/2023
Last updated
06/10/2026
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