Individual
REBECCA ANNE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 HILLCREST DR, JONESBORO, AR 72401-5124
(870) 933-5830
Mailing address
2717 GALLAWAY LN, JONESBORO, AR 72404-7823
(870) 933-5830
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L058581
AR
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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