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Wanda Jean Goodrich
Licensed Practical Nurse in Kennett, Missouri
NPI 1194356576

Wanda Jean Goodrich is a Licensed Practical Nurse based in Kennett, MO. Wanda Jean Goodrich practices in Kennett, MO. The NPI Number for Wanda Jean Goodrich is 1194356576 and holds a License No. 2007026784 (Missouri).

The current practice location address for Wanda Jean Goodrich is 935 State Route Vv, Kennett, MO and can be reached out via phone at 573-888-5925.

Location: 935 State Route Vv, Kennett, MO, 63857-3822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194356576
Provider Name
Wanda Jean Goodrich
Credential
Provider Entity Type
Individual
Gender
Female
Address
935 State Route Vv, Kennett, MO, 63857-3822
Phone Number
573-888-5925
Fax Number
Provider Enumeration Date
02/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
935 State Route Vv
City
Kennett
State
Missouri
Zip
63857-3822
Phone Number
573-888-5925
Fax Number
person
Provider Business Mailing Address Details
Address
935 State Route Vv
City
Kennett
State
Missouri
Zip
63857-3822
Phone Number
573-888-5925
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2007026784 (Missouri)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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