Goforth, Jennifer Marie

Goforth, Jennifer Marie is an individual health care provider with primary practice located at 900 Tharp Rd , Yuba City CA 95993-9159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Goforth, Jennifer Marie can be contacted via phone (530) 844-5655.

Contact Information

Primary practice address
900 Tharp Rd Yuba City CA 95993-9159
Phone: (530) 844-5655
Fax: (530) 821-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 10602 California

Profile Details

NPI number 1134148521
LBN Legal business name Goforth, Jennifer Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134148521 NPPES
California Other 10602 LICENSE

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