NPI 1003306267

Kawana Goodman, LPN

Practitioner Licensed Practical Nurse Jacksonville, FL

Practice location

Address: 8216 Pear Rd, Jacksonville, FL 32210-3474
Phone: (904) 446-0318

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 5179299 (FL)

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Registry record

NPI: 1003306267
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2018
Record last updated: 14 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.