Individual
MRS. JESSICA LYNN GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S 11TH ST BLDG 934, PHILADELPHIA, PA 19107-4824
(215) 955-6060
Mailing address
111 S 11TH ST, 934 THOMPSON, PHILADELPHIA, PA 19107-4824
(215) 955-6060
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP019472
PA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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