Jessica Goodwin, CRNP

Nurse Practitioner · Johnstown, PA

Individual Active NPI

NPI number 1639613003

Practice location

1111 Franklin St
Suite 130
Johnstown, PA 15905-4330
Phone
(814) 534-5724
Fax
(814) 536-1786

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NPI record

NPI
1639613003
Entity type
Individual (Type 1)
Enumeration date
December 5, 2016
Last updated
October 20, 2021
Certified
October 20, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X SP016926 PA

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 410-8300
Fax
(814) 410-8331

About Jessica Goodwin

Jessica Goodwin, CRNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1111 Franklin St, Suite 130, Johnstown, PA 15905-4330. The NPI number 1639613003 was assigned on December 5, 2016 and the record was last updated on October 20, 2021.

Jessica Goodwin lists a license in the registry: #SP016926 (PA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Goodwin, CRNP?

The NPI number is 1639613003.

What is the phone number of Jessica Goodwin?

The phone number listed for the practice location is (814) 534-5724.

Where is Jessica Goodwin located?

1111 Franklin St, Suite 130, Johnstown, PA 15905-4330.

What is the taxonomy code for Jessica Goodwin?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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