Individual
MS. JENNIFER NICOLE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045
(720) 848-0006
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10852
TX
363AS0400X
Surgical Physician Assistant
Primary
PA.0005677
CO
Other
Enumeration date
12/13/2016
Last updated
04/01/2019
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