Individual
JANE K GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301
(508) 894-0400
(508) 894-0332
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2292145
MA
Other
Enumeration date
10/22/2015
Last updated
05/15/2018
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