Individual
JUSTINE LOUISE GOODEN
Active
Individual
JUSTINE LOUISE GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
730504-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310887-01
NY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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