Individual provider · Type 1 NPI

Pharnethia Goodman Jackson, NP-C

Family Nurse Practitioner · Suffolk, VA

NPI number 1124164173 Active

Practice location

2760 Godwin Blvd Ste 100
Suffolk, VA 23434-8501

Other practice locations

  • 2050 Hillpoint Blvd N, Suffolk, VA 23434-7181 · (757) 934-3434

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001120025 (VA)
Family Nurse Practitioner 363LF0000X0017137032 (VA)
Family Nurse Practitioner Primary 363LF0000X0024164290 (VA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1124164173

Pharnethia Goodman Jackson, NP-C's National Provider Identifier is 1124164173, issued on Jan 29, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Suffolk, VA. The record was last updated on Jan 16, 2024.