Individual provider · Type 1 NPI
Kelly Ann Gooch, NP
Nurse Practitioner · Leesburg, VA
Practice location
19500 Sandridge Way Ste 280
Leesburg, VA 20176-3690
Mailing address
7525 Chestnut Hill Ln
Marshall, VA 20115-2117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001259062 (VA) |
| Nurse Practitioner Primary | 363L00000X | 0024187187 (VA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1477312692
Kelly Ann Gooch, NP's National Provider Identifier is 1477312692, issued on Mar 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leesburg, VA. The record was last updated on Mar 18, 2024.