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Mrs. Kelly Ann Godberson, NP
Nurse Practitioner in Medford, New York
NPI 1053833962

Kelly Ann Godberson is a Nurse Practitioner based in Centereach, NY. Kelly Ann Godberson practices in Medford, NY and has the professional credentials of NP. The NPI Number for Kelly Ann Godberson is 1053833962 and holds a License No. 308240 (New York).

The current practice location address for Kelly Ann Godberson is 3115 Horseblock Rd, Medford, NY and can be reached out via phone at 631-730-3000.

Location: 3115 Horseblock Rd, Medford, NY, 11720-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053833962
Provider Name
Kelly Ann Godberson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3115 Horseblock Rd, Medford, NY, 11720-3012
Phone Number
631-730-3000
Fax Number
Provider Enumeration Date
07/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
308240 01 NY NURSE PRACTIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
3115 Horseblock Rd
City
Medford
State
New York
Zip
11763-2526
Phone Number
631-730-3000
Fax Number
person
Provider Business Mailing Address Details
Address
3115 Horseblock Rd
City
Medford
State
New York
Zip
11763-2526
Phone Number
631-730-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
308240 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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