Individual
JESSICA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-4978
Mailing address
240 E FREDERICK ST APT 1, LANCASTER, PA 17602-2379
(717) 435-3828
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063296
PA
Other
Enumeration date
12/22/2021
Last updated
04/25/2025
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