Individual
MRS. JOAN MARIE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN.C., W.H.N.P.
Contact information
Practice address
383 S. PARK RIDGE RD., STE 102, BLOOMINGTON, IN 47401-8574
(812) 330-5250
(812) 330-5240
Mailing address
918 S. MEADOWBROOK DR., BLOOMINGTON, IN 47407-4233
(812) 332-2181
(812) 332-2189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71000412B
IN PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
10/29/2007
Last updated
03/07/2023
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