Jeffrey Goodhart, CRNA
Nurse Anesthetist, Certified Registered in Little Rock, AR. Individual provider (NPI-1).
NPI number1124459680
StatusActive
Last updated in NPPESNov 22, 2024
Details
- NPI
- 1124459680
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Goodhart
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2013
- Certification date
- Nov 22, 2024
- Last updated
- Nov 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 121830 | AR | Yes |
| 163W00000X | Registered Nurse | R088752 | AR |
Practice location
6119 Midtown Ave Ste 101Little Rock, AR 72205-5316
Phone 501-404-8007 · Fax 501-904-3620
Mailing address
800 Fair Park BlvdLittle Rock, AR 72204-1720
Phone 501-404-8007 · Fax 501-904-3620
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All 314 Certified Registered Nurse Anesthetist providers in Little Rock · All 15,826 providers in Little Rock
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