Individual
HEATHER JEAN GOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1305 W CHEROKEE ST, LINDSAY, OK 73052-5042
(405) 756-1404
(405) 756-1921
Mailing address
PO BOX 302, ALEX, OK 73002-0302
(405) 756-7310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
87842
OK
363LF0000X
Family Nurse Practitioner
Primary
87842
OK
363LP2300X
Primary Care Nurse Practitioner
87842
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200598580A
—
OK
Enumeration date
02/12/2015
Last updated
01/05/2021
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