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Jonathan Perry Goodwin, APRN
General Practice Registered Nurse in Broken Arrow, Oklahoma
NPI 1336738293

Jonathan Perry Goodwin is a General Practice Registered Nurse based in Broken Arrow, OK and is specialized in General Practice. Jonathan Perry Goodwin practices in Broken Arrow, OK and has the professional credentials of APRN. The NPI Number for Jonathan Perry Goodwin is 1336738293 and holds a License No. 201903 (Oklahoma).

The current practice location address for Jonathan Perry Goodwin is 3004 N 2Nd St, Broken Arrow, OK and can be reached out via phone at 918-713-1320.

Location: 3004 N 2Nd St, Broken Arrow, OK, 74012-8231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336738293
Provider Name
Jonathan Perry Goodwin
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
3004 N 2Nd St, Broken Arrow, OK, 74012-8231
Phone Number
918-713-1320
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3004 N 2Nd St
City
Broken Arrow
State
Oklahoma
Zip
74012-8231
Phone Number
918-713-1320
Fax Number
person
Provider Business Mailing Address Details
Address
3004 N 2Nd St
City
Broken Arrow
State
Oklahoma
Zip
74012-8231
Phone Number
918-713-1320
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
R0129507 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201903 (Oklahoma)
Definition
Definition to come...
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