National Provider Identifier

Jennifer Goodall I, LPN

Jennifer Goodall I, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 662-7252.

NPI 1184030041Canandaigua, NYLicensed Practical Nurse

Profile Overview

NPI
1184030041
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 10, 2014
Last Updated
July 10, 2014

Practice Location

  • 427 N Main St Apt 20
  • Canandaigua, NY 14424-1040

Phone: (585) 662-7252

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1184030041
Entity Type
Individual
Last Name
Goodall
First Name
Jennifer
Name Suffix
I
Credential
LPN
Mailing Street Address
427 N Main St Apt 20
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1040
Mailing Country
US
Mailing Phone
(585) 662-7252
Practice Street Address
427 N Main St Apt 20
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1040
Practice Country
US
Practice Phone
(585) 662-7252
Enumeration Date
July 10, 2014
Last Updated
July 10, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)