Goodson, Timika Shante
Goodson, Timika Shante is an individual health care provider with primary practice located at 3421 Gentle Breeze Dr # A , Upper Marlboro MD 20772-2549. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Community Health, Nursing Service Providers / Home Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Goodson, Timika Shante can be contacted via phone (443) 529-2027.Contact Information
Primary practice address
3421 Gentle Breeze Dr # A
Upper Marlboro MD 20772-2549
Phone: (443) 529-2027
Fax: (240) 306-9503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN1055089 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN1055089 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R228537 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R228537 | Maryland |
| Nursing Service Providers / Community Health | 163WC1500X | RN1055089 | District of Columbia |
| Nursing Service Providers / Home Health | 163WH0200X | R228537 | Maryland |
Profile Details
| NPI number | 1053910794 |
|---|---|
| LBN Legal business name | Goodson, Timika Shante |
| Credentials | FNP-C, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2020 |
| Last updated | Jan 30th, 2024 - about 10 months ago |
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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