Individual
MARY ELLEN GOODNER
Active
Individual
MARY ELLEN GOODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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