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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JENIENNE ELIZABETH GOODEN

Active Sole Proprietor

MS. JENIENNE ELIZABETH GOODEN is a Assisted Living Facility healthcare provider located in PORT ST. LUCIE, Florida. NPI 1205578598 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · PORT ST. LUCIE, FL

Registration Details

NPI Number
1205578598
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2022 (4.3833677441589 yrs)
Last Updated
Apr 8, 2022
Sole Proprietor
Yes

Practice Information

Address
1674 SOUTH EAST FALLON DRIVE
PORT ST. LUCIE, FL, 34983
Browse FL providers · Browse ZIP 34983
Phone
7728345733
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.