NPI 1003612300

Kassandra Nicole Goodwin, APRN

Practitioner Family Nurse Practitioner Danville, IL

Practice location

Address: 707 N Logan Ave, Danville, IL 61832-4360
Phone: (217) 477-4770

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 209.031712 (IL)

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Registry record

NPI: 1003612300
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2025
Record last updated: 23 Feb 2025

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.