Individual provider · Type 1 NPI
Jack Allan Goode
Physician Assistant · Lebanon, TN
Practice location
1729 Orchard Dr
Lebanon, TN 37087-4829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1124931191
Jack Allan Goode's National Provider Identifier is 1124931191, issued on Sep 23, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lebanon, TN. The record was last updated on Sep 23, 2026.