IndividualActive
Alicia Goodman, FNP-C
NPI 1346069960 · Family Nurse Practitioner · Gulfport, MS
Provider details
- NPI number
- 1346069960
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 906660 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4300b W Railroad St
Gulfport, MS 39501-2568
Phone: (228) 822-6722
Approximate (ZIP-level) locationGet directions
Mailing address
3211 Rosewood Dr
Hattiesburg, MS 39401-4517
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.