NPI 1013305895

Amber Goodman, PAC

Practitioner Physician Assistant Jackson, MS

Practice location

Address: 970 Lakeland Dr STE 61, Jackson, MS 39216-4634
Phone: (601) 982-7850
Fax: (601) 366-8507

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA00345 (MS)

Other Physician Assistant providers in Mississippi →

Registry record

NPI: 1013305895
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2015
Record last updated: 7 Oct 2024

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.