MEDICARE: JENNIFER GOODIN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0030876	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215687199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GOODIN APRN

Provider Business Mailing Address
First Line	:	PO BOX 381468
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38183-1468
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 SYLVANIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45440-3237
Country	:	US
Telephone Number	:	937-320-5050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	02/09/2026

Similar Medicare Providers

1891792339 — DR. BRUCE M BUERK MD
Practice Location Address:

89 SYLVANIA DR , 2ND FL
DAYTON, OH
45440-3237

Practice Phone: 937-427-8900
Practice Fax: 937-427-1710

1780681239 — DR. CHARLES PATRICK CARROLL MD
Practice Location Address:

89 SYLVANIA DR , 2ND FL
DAYTON, OH
45440-3237

Practice Phone: 937-427-8900
Practice Fax: 937-427-1710

1912904467 — DR. ANN MARIE MARTINEK MD
Practice Location Address:

89 SYLVANIA DR , 2ND FL
DAYTON, OH
45440-3237

Practice Phone: 937-427-8900
Practice Fax: 937-427-1710

1831171420 — DR. LARRY W WEPRIN M.D.
Practice Location Address:

75 SYLVANIA DR
DAYTON, OH
45440-3237

Practice Phone: 937-320-5050
Practice Fax: 937-320-5060

1154305357 — DR. DONALD R LUTTER M.D.
Practice Location Address:

75 SYLVANIA DR
DAYTON, OH
45440-3237

Practice Phone: 937-320-5050
Practice Fax: 937-320-5060

1801871157 — DR. JAVAD KARDAN M.D.
Practice Location Address:

75 SYLVANIA DR
DAYTON, OH
45440-3237

Practice Phone: 937-320-5050
Practice Fax: 937-320-5060

1508831991 — GREGORY J BECK M.D.
Practice Location Address:

75 SYLVANIA DR
DAYTON, OH
45440-3237

Practice Phone: 937-320-5050
Practice Fax: 937-320-5060

Directions to “ JENNIFER GOODIN APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.