Goodman, Amber
Goodman, Amber is an individual health care provider with primary practice located at 970 Lakeland Dr Ste 61 , Jackson MS 39216-4634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goodman, Amber can be contacted via phone (601) 982-7850.Contact Information
Primary practice address
970 Lakeland Dr Ste 61
Jackson MS 39216-4634
Phone: (601) 982-7850
Fax: (601) 366-8507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00345 | Mississippi |
Profile Details
| NPI number | 1013305895 |
|---|---|
| LBN Legal business name | Goodman, Amber |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2015 |
| Last updated | Jun 11th, 2024 - 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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