Joshua Franklin Gooch, RN

Individual provider Active NPI Registered Nurse · Highland, AR

NPI 1376359976 · NPPES record last updated Dec 9, 2024

Key facts

NPI
1376359976
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R087606 (AR)
Practice address
19 Lakewood Dr
Highland, AR 72542-9142
Phone
(870) 860-5214
NPI assigned
Dec 9, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R087606ARMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R087606 AR Yes

Addresses

Primary practice location

19 Lakewood Dr
Highland, AR 72542-9142

Mailing address

19 Lakewood Dr
Highland, AR 72542-9142
Phone (870) 860-5214

Other providers in Highland, AR

All providers in Highland, AR · Registered Nurse in Arkansas

Sources for this page

Verify at the official NPI Registry.