| Jennifer Ross Goodwin, PNP-PC | |
|
424 Martin Luther King Dr, Purvis, MS 39475-5028 | |
| (601) 545-8700 | |
| (601) 450-0231 |
| Full Name | Jennifer Ross Goodwin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 424 Martin Luther King Dr, Purvis, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083246474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 865754 (Mississippi) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 865754 (Mississippi) | Primary |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ross Goodwin, PNP-PC Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 450-3030 | Jennifer Ross Goodwin, PNP-PC 424 Martin Luther King Dr, Purvis, MS 39475-5028 Ph: (601) 545-8700 |
Susan M Sicotte, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392 | |
Jamila Annice Spinks, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 | |
Suzanne Cox, CFNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 Fax: 601-794-0130 | |
Misty Jones Barrett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 | |
Phaedra Mclin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 Fax: 601-794-0247 | |
Kimberly Woods, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 | |
Sarah M Tucker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8068 Fax: 601-794-5650 |