Individual provider · Type 1 NPI

Stephannie Lorene Goodrum, APRN

Family Nurse Practitioner · Clinton, KY

NPI number 1700396405 Active

Practice location

308 S Washington St Ste 200
Clinton, KY 42031-1347

Call (270) 653-0220 Map

Fax (270) 653-0221

Mailing address

175 Evans Ln
Clinton, KY 42031-9402

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3011787 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1700396405

Stephannie Lorene Goodrum, APRN's National Provider Identifier is 1700396405, issued on Oct 7, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clinton, KY. The record was last updated on Oct 7, 2017.