Individual provider · Type 1 NPI

Shenavian Fredita Goodman, LPN

Licensed Practical Nurse · Jacksonville, FL

NPI number 1679790737 Active

Practice location

1601 Dunn Ave Apt 504
Jacksonville, FL 32218-4737

Call (904) 379-4931 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5154281 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1679790737

Shenavian Fredita Goodman, LPN's National Provider Identifier is 1679790737, issued on Apr 19, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 9, 2008.