Individual provider · Type 1 NPI

Jacqueline Venora Goodgame, LPN

Licensed Practical Nurse · Southfield, MI

NPI number 1073009627 Active

Practice location

4000 Town Ctr
Southfield, MI 48075

Call (248) 386-0300 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703103750 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1073009627

Jacqueline Venora Goodgame, LPN's National Provider Identifier is 1073009627, issued on Jul 6, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Southfield, MI. The record was last updated on Aug 16, 2018.