ELIZABETH H GOODWIN


Address: 1421 N State St, Suite 203, Jackson, MS 39202-1658
Phone: 6013551234

ELIZABETH H GOODWIN (NPI# 1447294590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447294590
Entity Type Individual
Full Name ELIZABETH H GOODWIN
Credential CFNP
Practice Address 1421 N State St
Suite 203
Jackson
MS 39202-1658
Practice Telephone 6013551234
Practice Fax Number 6013263537
Mailing Telephone 6013551234
Mailing Fax Number 6013263537
Enumeration Date 2006-06-16
Last Update Date 2009-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R838632 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00114550 05

Other Providers ELIZABETH GOODWIN

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1164782181 Elizabeth K Goodwin Social Worker 511 28th Ave E, Seattle, WA 98112-4161 2012-05-23
1669742383 Elizabeth T Goodwin Counselor 402 15th Ave Se Ste 100, Puyallup, WA 98372-3709 2012-01-11
1962650796 Elizabeth Amanda Goodwin Rehabilitation Practitioner 456 Elm Ave, Long Beach, CA 90802-2426 2008-09-04
1154463503 Elizabeth Mary Goodwin Physical Therapist 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 2007-02-13
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Office Location

Street Address 1421 N STATE ST
SUITE 203
City JACKSON
State MS
Zip Code 39202-1658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649268822 Billy W Long Internal Medicine 1421 N State St, Suite 203, Jackson, MS 39202-1658 2005-10-11
1396011458 Fresenius Medical Care Sw Jackson Home, LLC Clinic/Center 1421 N State St, Suite 501, Jackson, MS 39202-1658 2012-03-22
1730480286 Melissa Jones Registered Nurse 1421 N State St, Suite 403, Jackson, MS 39202-1658 2010-11-14
1710288410 Kerex LLC Durable Medical Equipment & Medical Supplies 1421 N State St, 505, Jackson, MS 39202-1658 2010-11-11
1144532391 Mark Runnels Urology 1421 N State St, Ste 403, Jackson, MS 39202-1658 2010-07-03
1790911048 Specialty Anesthesia LLC Nurse Anesthetist, Certified Registered 1421 N State St, Suite 203, Jackson, MS 39202-1658 2009-06-01
1881849651 Mary K Gravel Nurse Anesthetist, Certified Registered 1421 N State St, Suite 203, Jackson, MS 39202-1658 2008-11-20
1609043363 Catherine B. Ramsey Nurse Anesthetist, Certified Registered 1421 N State St, Suite 203, Jackson, MS 39202-1658 2008-05-13
1427230168 Fred L Mcmillan, Md, Pllc Ophthalmology 1421 N State St, Suite 503, Jackson, MS 39202-1658 2007-12-05
1679769491 Allen Mcneil Haraway Urology 1421 N State St, Suite 400, Jackson, MS 39202-1658 2007-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1174164263 Tami Anne Miller Nurse Practitioner 124 N Bast St, Jackson, MO 63755-1704 2019-10-01
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1831750843 Rhiannon Michelle Andresen Nurse Practitioner 1022 Greystone Sq, Jackson, TN 38305-3580 2019-06-21
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Competitor

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City JACKSON
Zip Code 39202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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