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Individual

JILL GOINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
23 VETERANS BLVD, EUFAULA, AL 36027-4444
(334) 687-8051
(334) 687-8027
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-177342
AL
363LF0000X
Family Nurse Practitioner
APRN.CNP.12648
OH
363LF0000X
Family Nurse Practitioner
COA.12648-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0054262
OH
Enumeration date
09/13/2011
Last updated
11/16/2020
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