Individual
MICHELLE RENEE GOOSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1401 HARRODSBURG RD STE A540, LEXINGTON, KY 40504-1720
(859) 258-6760
(859) 258-6512
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013025
KY
364SF0001X
Family Health Clinical Nurse Specialist
3013025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100605260
—
KY
Enumeration date
05/24/2019
Last updated
11/02/2023
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