Goss, Jenny Vanlora

Goss, Jenny Vanlora is an individual health care provider with primary practice located at 1105 Burleyson Rd , Dalton GA 30720-3181. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Goss, Jenny Vanlora can be contacted via phone (706) 278-4640.

Contact Information

Primary practice address
1105 Burleyson Rd Dalton GA 30720-3181
Phone: (706) 278-4640
Fax: (706) 275-6599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 114271-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN261026 Georgia

Profile Details

NPI number 1578984811
LBN Legal business name Goss, Jenny Vanlora
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2014
Last updated Oct 4th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578984811 NPPES
Georgia MEDICAID 003180417B

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