Individual provider · Type 1 NPI

Alicia Dorethea Goodman, FNP-C

Family Nurse Practitioner · Gulfport, MS

NPI number 1346069960 Active

Practice location

4300B W Railroad St
Gulfport, MS 39501-2568

Mailing address

3211 Rosewood Dr
Hattiesburg, MS 39401-4517

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X906660 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1346069960

Alicia Dorethea Goodman, FNP-C's National Provider Identifier is 1346069960, issued on Oct 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Oct 9, 2024.