STEPHANNIE LORENE GOODRUM

CLINTON, KY
NPI1700396405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3011787)
Enumeration Date2017-10-07
Last Update Date2017-10-07
Business Address
Mrs. STEPHANNIE LORENE GOODRUM APRN
308 S WASHINGTON ST STE 200
CLINTON, KY 42031-1347
Phone number: 270-653-0220
Mailing Address
Mrs. STEPHANNIE LORENE GOODRUM APRN
175 EVANS LN
CLINTON, KY 42031-9402
Phone number: 270-217-9558