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Melissa Lynn Goodearle
Licensed Practical Nurse in Jefferson, Wisconsin
NPI 1437856572

Melissa Lynn Goodearle is a Licensed Practical Nurse based in Jefferson, WI. Melissa Lynn Goodearle practices in Jefferson, WI. The NPI Number for Melissa Lynn Goodearle is 1437856572 and holds a License No. 311205 (Wisconsin).

The current practice location address for Melissa Lynn Goodearle is 1541 Annex Rd, Jefferson, WI and can be reached out via phone at 920-674-8126.

Location: 1541 Annex Rd, Jefferson, WI, 53549-9803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437856572
Provider Name
Melissa Lynn Goodearle
Credential
Provider Entity Type
Individual
Gender
Female
Address
1541 Annex Rd, Jefferson, WI, 53549-9803
Phone Number
920-674-8126
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1541 Annex Rd
City
Jefferson
State
Wisconsin
Zip
53549-9803
Phone Number
920-674-8126
Fax Number
person
Provider Business Mailing Address Details
Address
1541 Annex Rd
City
Jefferson
State
Wisconsin
Zip
53549-9803
Phone Number
920-674-8126
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
311205 (Wisconsin)
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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