Organization · Type 2 NPI
Goode Provider
Adult Health Nurse Practitioner · Memphis, TN
NPI number
1225527989
Active
Practice location
2969 Mountain Terrace St
Memphis, TN 38127-8335
Mailing address
PO Box 342322
Bartlett, TN 38184-2322
Other practice locations
- 1630 Goodman Rd E Ste 3, Southaven, MS 38671-9556 · (662) 470-7232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1225527989
Goode Provider's National Provider Identifier is 1225527989, issued on May 8, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Memphis, TN. The record was last updated on Feb 2, 2024.