Individual provider · Type 1 NPI
Shana Goodno, FNP-BC
Nurse Practitioner · Moultrie, GA
Practice location
207 31 St Ave SE
Moultrie, GA 31768
Fax (229) 217-0087
Mailing address
207 31st Ave SE
Moultrie, GA 31768-6703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN164651 (GA) |
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 1568779809
Shana Goodno, FNP-BC's National Provider Identifier is 1568779809, issued on Sep 8, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Moultrie, GA. The record was last updated on Oct 13, 2025.