Individual
DONNA JOYCE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 MEADOWLARK DR, RICHMOND, KY 40475-2238
(502) 262-2887
Mailing address
4004 DUPONT CIR, STE 220, LOUISVILLE, KY 40207-4819
(502) 893-0159
(502) 213-3853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010101
KY
363LF0000X
Family Nurse Practitioner
3010101
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010101
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100399240
—
KY
Enumeration date
02/09/2016
Last updated
01/10/2020
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