Individual
CAROL S GOOSTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 HAZELWOOD DR, HENDERSONVLLE, TN 37075-5331
(615) 293-6429
Mailing address
102 HAZELWOOD DR, HENDERSONVLLE, TN 37075-5331
(615) 293-6429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000020739
TN
Other
Enumeration date
11/24/2015
Last updated
11/04/2021
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