Individual provider · Type 1 NPI

Holly Elizabeth Goodman, NP

Acute Care Nurse Practitioner · Macon, GA

NPI number 1104497957 Active

Practice location

2064 Vineville Ave
Macon, GA 31204-3140

Mailing address

6264 Rogers Rd
Lizella, GA 31052-5503

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN264268 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104497957

Holly Elizabeth Goodman, NP's National Provider Identifier is 1104497957, issued on Jul 2, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Macon, GA. The record was last updated on Jul 2, 2021.