Individual
JORDAN LENAE GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-1955
(434) 245-2010
Mailing address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(804) 461-9309
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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