Individual
JENNIFER E GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(571) 643-1899
Mailing address
6200 WILSON BLVD APT 317, FALLS CHURCH, VA 22044-3204
(571) 643-1899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024169857
VA
Other
Enumeration date
09/06/2024
Last updated
09/19/2024
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