JENA ELIZABETH GOULD

WARSAW, IN
NPI1952534943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71003002A)
Enumeration Date2009-08-25
Last Update Date2012-04-25
Business Address
-- JENA ELIZABETH GOULD NP
1205 PROVIDENT DRIVE SUITE A
WARSAW, IN 46580-3265
Phone number: 574-269-8383
Mailing Address
-- JENA ELIZABETH GOULD NP
PO BOX 996
WARSAW, IN 46581-0996
Phone number: 574-269-8383