Individual provider · Type 1 NPI

Jinelle Marie Goodwin, RN

Community Health Registered Nurse · Santo Domingo Pueblo, NM

NPI number 1861138596 Active

Practice location

85 West Hwy 22
Santo Domingo Pueblo, NM 87052

Mailing address

PO Box 340
Santo Domingo Pueblo, NM 87052-0340

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X53398 (NM)

Community Health Registered Nurse: Definition to come...

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About NPI 1861138596

Jinelle Marie Goodwin, RN's National Provider Identifier is 1861138596, issued on May 6, 2022. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Santo Domingo Pueblo, NM. The record was last updated on Nov 9, 2022.