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1205427523
JENNIFER GOODWIN
SHREVEPORT, LA
NPI
1205427523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 218490)
Enumeration Date
2021-01-29
Last Update Date
2024-07-18
Business Address
Mrs. JENNIFER GOODWIN FNP
1500 LINE AVE
SHREVEPORT, LA 71101-4639
Phone number: 318-629-5555
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Mailing Address
Mrs. JENNIFER GOODWIN FNP
1500 LINE AVE STE 200
SHREVEPORT, LA 71101-4643
Phone number: 318-629-5555
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