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Jonathan Perry Goodwin, APRN

Nurse Practitioner, Family in Tulsa, OK. Individual provider (NPI-1).

NPI number1336738293
StatusActive
Last updated in NPPESDec 10, 2025

Details

NPI
1336738293
Entity type
Individual (NPI-1)
Name
Jonathan Perry Goodwin
Credential
APRN
Sex
Male
Sole proprietor
No
Enumeration date
Jan 14, 2021
Certification date
Dec 10, 2025
Last updated
Dec 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family201903OKYes
163WG0000X Registered Nurse, General PracticeR0129507OK

Practice location

4110 S 100th East Ave Ste 201
Tulsa, OK 74146-3629

Phone 918-857-7246 · Fax 918-359-5828

Mailing address

4110 S 100th East Ave Ste 201
Tulsa, OK 74146-3629

Phone 918-857-7246 · Fax 918-359-5828

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