Individual
MS. JOI ELIZABETH GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1100
Mailing address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 320-6187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018174
PA
Other
Enumeration date
12/03/2017
Last updated
10/23/2022
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