Goodwin, Jennifer Ross

Goodwin, Jennifer Ross is an individual health care provider with primary practice located at 424 Martin Luther King Dr , Purvis MS 39475-5028. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Goodwin, Jennifer Ross can be contacted via phone (601) 545-8700.

Contact Information

Primary practice address
424 Martin Luther King Dr Purvis MS 39475-5028
Phone: (601) 545-8700
Fax: (601) 450-0231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 865754 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 865754 Mississippi

Profile Details

NPI number 1083246474
LBN Legal business name Goodwin, Jennifer Ross
Credentials PNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2020
Last updated Mar 19th, 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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