Individual
DESTYNI GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 6TH AVE S, BIRMINGHAM, AL 35233-1802
(205) 934-4277
Mailing address
307 RIVERCHASE TRL, HOOVER, AL 35244-2051
(256) 682-9173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-185986
AL
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
1-185986
AL
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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