Individual provider · Type 1 NPI

Jessica Goodwin, CRNP

Nurse Practitioner · Johnstown, PA

NPI number 1639613003 Active

Practice location

1111 Franklin St, Suite 130
Johnstown, PA 15905-4330

Fax (814) 536-1786

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP016926 (PA)

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 1639613003

Jessica Goodwin, CRNP's National Provider Identifier is 1639613003, issued on Dec 5, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnstown, PA. The record was last updated on Oct 20, 2021.