Mrs Misty R Goldson, FNP | |
10550 S Highway 27 Ste 3, Burnside, KY 42519-9450 | |
(606) 400-2227 | |
(606) 332-0576 |
Full Name | Mrs Misty R Goldson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 10550 S Highway 27 Ste 3, Burnside, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528069531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3004253 (Kentucky) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3004253 (Kentucky) | Primary |
Entity Name | Wayne County Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871548016 PECOS PAC ID: 7113814740 Enrollment ID: O20040301000047 |
Entity Name | Southfork Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295718757 PECOS PAC ID: 7012815616 Enrollment ID: O20040602001146 |
Entity Name | Cumberland Family Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366703159 PECOS PAC ID: 0749426047 Enrollment ID: O20130411000038 |
Entity Name | Quest Counseling |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215475561 PECOS PAC ID: 3173872256 Enrollment ID: O20180822003279 |
Entity Name | Enlighten Mental Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962278507 PECOS PAC ID: 9931546140 Enrollment ID: O20240325000082 |
Mailing Address | Practice Location Address |
---|---|
Mrs Misty R Goldson, FNP 57 Hogue Rd, Pine Knot, KY 42635-7003 Ph: (606) 354-9444 | Mrs Misty R Goldson, FNP 10550 S Highway 27 Ste 3, Burnside, KY 42519-9450 Ph: (606) 400-2227 |