Individual
JILL ANNE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
20 W WENGER RD, ENGLEWOOD, OH 45322-2722
(937) 771-5100
(937) 832-3014
Mailing address
20 W WENGER RD, ENGLEWOOD, OH 45322-2722
(937) 771-5100
(937) 832-3014
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
01698-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2479250
—
OH
Enumeration date
06/27/2005
Last updated
04/01/2013
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