person
Jesse Goodman, AGNP
Psychiatric/Mental Health Nurse Practitioner in Irvine, California
NPI 1609248202

Jesse Goodman is a Psychiatric/Mental Health Nurse Practitioner based in Trabuco Canyon, CA and is specialized in Psychiatric/Mental Health. Jesse Goodman practices in Irvine, CA and has the professional credentials of AGNP. The NPI Number for Jesse Goodman is 1609248202 and holds a License No. 95003286 (California).

The current practice location address for Jesse Goodman is 17782 Cowan Ste A, Irvine, CA and can be reached out via phone at 949-722-7118. You can also correspond with Jesse Goodman through the mailing address at 28411 PUEBLO DR, TRABUCO CANYON, CA - 92679-1157 (mailing address contact number: 801-425-2831).

Location: 17782 Cowan Ste A, Irvine, CA, 92679-1157
person
Provider Profile Details
NPI Number
1609248202
Provider Name
Jesse Goodman
Credential
AGNP
Provider Entity Type
Individual
Gender
Male
Address
17782 Cowan Ste A, Irvine, CA, 92679-1157
Phone Number
949-722-7118
Fax Number
Provider Enumeration Date
10/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17782 Cowan Ste A
City
State
Zip
92614-6041
Phone Number
949-722-7118
Fax Number
person
Provider Business Mailing Address Details
Address
28411 Pueblo Dr
City
State
Zip
92679-1157
Phone Number
801-425-2831
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95003286 (California)
Definition
Definition to come...
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