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Contact Information

VANESSA GOODE, APRN
411 E CHESTNUT ST
LOUISVILLE, KY40202-1713
 Phone: 502-588-2330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for VANESSA GOODE · (Female)

NPI Number 1669111670
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 05/31/2022
Last updated 03/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 3016454
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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