STACY GOODIN FNP NPI 1356796817

NPI Information

NPI: 1356796817
Provider Name: STACY GOODIN, FNP
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5012 S US HIGHWAY 75
DENISON, TX
ZIP 75020
Phone: (903) 465-5012
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STACY GOODIN, FNP is a clinic center in Denison, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). STACY GOODIN, FNP NPI is 1356796817. The provider is registered as an organization entity type.

The provider's business location address is:

5012 S US HIGHWAY 75
DENISON, TX
ZIP 75020-587
Phone: (903) 465-5012
Fax: (866) 307-7513

The provider's authorized official is Stacy Goodin .
The authorized official title is Fnp and has the following contact phone number (903) 465-5012.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 5/3/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		AP130767	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AP130767	OTHER	TEXAS	FNP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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