Individual
MARY ELLEN GOODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1324 W MAIN ST, FRANKLIN, TN 37064-3784
(615) 794-1542
(615) 790-5967
Mailing address
710 HART LN, NASHVILLE, TN 37247-0802
(615) 650-7037
(615) 262-6139
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
118705
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118705
RN LICENSE
TN
01
—
7751
APN LICENSE
TN
Enumeration date
10/20/2006
Last updated
07/08/2007
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