Goodwin, Trena Jill
Goodwin, Trena Jill is an individual health care provider with primary practice located at 10200 Alliance Rd Suite 150, Blue Ash OH 45242-4753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Goodwin, Trena Jill can be contacted via phone (513) 891-0650.Contact Information
Primary practice address
10200 Alliance Rd Suite 150
Blue Ash OH 45242-4753
Phone: (513) 891-0650
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | RN.121852 | Ohio |
Profile Details
NPI number | 1285704601 |
---|---|
LBN Legal business name | Goodwin, Trena Jill |
Credentials | PMHCNS-BC, APRN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2006 |
Last updated | Oct 12th, 2016 - about 9 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285704601 | NPPES |
Ohio | MEDICAID | 2245145 | |
Ohio | Other | RX.01444 |
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