Individual
JACQUELINE D'AMICO GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP13889
VI
363LP0200X
Pediatric Nurse Practitioner
CNP-02294
NM
Other
Enumeration date
11/13/2013
Last updated
06/02/2022
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