Individual provider · Type 1 NPI
Alexandra Goodman
Nurse Practitioner · Fort Mill, SC
Practice location
1808 Second Baxter Xing Ste 108
Fort Mill, SC 29708-6437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 31182 (SC) |
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…
Another provider at this address
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About NPI 1619773652
Alexandra Goodman's National Provider Identifier is 1619773652, issued on Feb 20, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Mill, SC. The record was last updated on Aug 19, 2026.