Individual provider · Type 1 NPI
Jason Goodman, AGACNP
Acute Care Nurse Practitioner · Dallas, TX
NPI number
1407308075
Active
Practice location
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Fax (214) 960-5681
Mailing address
2710 Swiss Ave
Dallas, TX 75204-5900
Other practice locations
- 3500 Gaston Ave, Dallas, TX 75246-2017 · (214) 821-1599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP132469 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1407308075
Jason Goodman, AGACNP's National Provider Identifier is 1407308075, issued on Oct 31, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Sep 5, 2023.