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Contact Information

REBECCA L GOEDECKE, CPNP
51 N DUNLAP ST
G145
MEMPHIS, TN38105-4625
 Phone: 901-287-5928
 Fax: 901-266-6455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA L GOEDECKE · (Female)

NPI Number 1275884645
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 09/26/2012
Last updated 04/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 9382864
  • TN License # 19922
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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