Most Relevant Information
Provider Data
| NPI Number: | 1003560715 |
| Provider Name: | LAKESHA MONIQUE GOODWIN AGPCNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024186832 |
Most Important Dates
| Enumeration Date: | 02/10/2022 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
5511 VIRGINIA WAY
STE 300
BRENTWOOD
TN
370277611
Practice Location Phone/Fax
| Phone: | 6159941000 |
| Fax: | 6159940100 |
Provider Mailing Location
5511 VIRGINIA WAY
STE 300
BRENTWOOD
TN
370277611
Provider Mailing Phone/Fax
| Phone: | 6159941000 |
| Fax: | 6159940100 |