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Sonya K. Goodin, FNP
Family Nurse Practitioner in Madison, Mississippi
NPI 1952383812

Sonya K. Goodin is a Family Nurse Practitioner based in Canton, MS and is specialized in Family. Sonya K. Goodin practices in Madison, MS and has the professional credentials of FNP. The NPI Number for Sonya K. Goodin is 1952383812 and holds a License No. R850539 (Mississippi).

The current practice location address for Sonya K. Goodin is 1082 Gluckstadt Rd, Madison, MS and can be reached out via phone at 601-707-5621.

Location: 1082 Gluckstadt Rd, Madison, MS, 39046-4805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952383812
Provider Name
Sonya K. Goodin
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1082 Gluckstadt Rd, Madison, MS, 39046-4805
Phone Number
601-707-5621
Fax Number
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00218140 01 RAILROAD MEDICARE
09289510 05 MS
institution
Provider Business Practice Location Address Details
Address
1082 Gluckstadt Rd
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-707-5621
Fax Number
person
Provider Business Mailing Address Details
Address
1082 Gluckstadt Rd
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-707-5621
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R850539 (Mississippi)
Definition
Definition to come...
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