Individual provider · Type 1 NPI
Isis Andrea Goodson, LPN
Licensed Practical Nurse · Fayetteville, NC
NPI number
1689176307
Active
Practice location
1233 Mingary Ave
Fayetteville, NC 28306-3558
Fax (910) 977-0703
Other practice locations
- 1233 Mingary Ave, Fayetteville, NC 28306-3558 · (910) 977-0703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 058633 (NC) |
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 1689176307
Isis Andrea Goodson, LPN's National Provider Identifier is 1689176307, issued on Mar 8, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 17, 2018.