Individual provider · Type 1 NPI

Charlotte Whitehurst Goodwyn, FNP

Nurse Practitioner · Farmville, NC

NPI number 1104170166 Active

Practice location

3485 N. Main Street
Farmville, NC 27858

Mailing address

706 Ferncliff Ln
Tarboro, NC 27886-5629

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5005885 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104170166

Charlotte Whitehurst Goodwyn, FNP's National Provider Identifier is 1104170166, issued on Oct 30, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Farmville, NC. The record was last updated on Nov 1, 2012.