Individual provider · Type 1 NPI

Justin Goucher, APRN

Primary Care Nurse Practitioner · Fayetteville, AR

NPI number 1881356368 Active

Practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Mailing address

9 Selland Ln
Bella Vista, AR 72715-5568

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X216579 (AR)
Gerontology Nurse Practitioner 363LG0600X216579 (AR)
Primary Care Nurse Practitioner Primary 363LP2300X216579 (AR)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1881356368

Justin Goucher, APRN's National Provider Identifier is 1881356368, issued on Oct 12, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 27, 2022.