Nicole Marie Goggin
Specialist/Technologist, Athletic Trainer in Jackson, TN. Individual provider (NPI-1).
NPI number1154163152
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1154163152
- Entity type
- Individual (NPI-1)
- Name
- Nicole Marie Goggin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2024
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 3202 | TN | Yes |
Practice location
10 Bagby Point Rd Apt HJackson, TN 38305-5304
Phone 979-219-2880
Mailing address
10 Bagby Point Rd Apt HJackson, TN 38305-5304
Phone 979-219-2880
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