JILL J GOODMAN ARNP PHD NPI 1124202130

NPI Information

  • NPI: 1124202130
  • Provider Name: JILL J GOODMAN, ARNP, PHD
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1600 SW ARCHER RD
    GAINESVILLE, FL
    ZIP 32610
  • Phone: (352) 265-7981

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NPI Details

Jill J Goodman, ARNP, PHD is a family nurse practitioner in Gainesville, FL. Jill J Goodman, ARNP, PHD NPI is 1124202130. 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:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 265-7981

The enumeration date for this NPI number is 12/27/2007 and was last updated on 3/26/2009.

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
1363LF0000XNurse PractitionerFamilyARNP2515222FLORIDAYes

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
1S60304MEDICARE UPINFLORIDA
2034865100MEDICAIDFLORIDA
3E1051YMEDICARE PINFLORIDA
4E1051ZMEDICARE PINFLORIDA
5S60304MEDICARE UPIN

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: 3/30/2025

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