Organization

Goode Provider

Adult Health Nurse Practitioner in Memphis, TN(View on Map)

Legal Business Name

Goode Provider

NPI Number

1225527989

NPI Type

Organization

Enumeration Date

05/08/2018

Specialties

(Taxonomies)

Code

363LA2200X
253Z00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 342322
2969 MOUNTAIN TERRACE ST

City

Bartlett
Memphis

State

TN
TN

Postal Code

38184-2322
38127-8335

Country

US
US

Telephone Number

(901) 230-2269
(901) 821-1123

Authorized Official

Name

Brenda Montgomery

Title or Position

ADMINISTRATOR

Telephone Number

(346) 262-2669

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/02/2024

Provider Address

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Organization

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