JACQUELINE VENORA GOODGAME LPN NPI 1073009627

NPI Information

Jacqueline Venora Goodgame, LPN is a licensed practical nurse in Southfield, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jacqueline Venora Goodgame, LPN NPI is 1073009627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4000 TOWN CTR
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 386-0300

The enumeration date for this NPI number is 7/6/2018 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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