Tara Lynn Goodwin, APRN
Nurse Practitioner, Family in Magnolia, AR. Individual provider (NPI-1).
NPI number1982171203
StatusActive
Last updated in NPPESOct 24, 2018
Details
- NPI
- 1982171203
- Entity type
- Individual (NPI-1)
- Name
- Tara Lynn Goodwin
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2018
- Last updated
- Oct 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A005853 | AR | Yes |
Practice location
29 AzaleaMagnolia, AR 71753-2275
Phone 870-904-5167
Mailing address
29 AzaleaMagnolia, AR 71753-2275
Phone 870-904-5167
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