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NPI Code Detail

MEDICARE: MRS. JESSICA FAY GOOD CNM, ARNP

MEDICARE: MRS. JESSICA FAY GOOD CNM, ARNP
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
1367A00000XAdvanced Practice MidwifeAP128016TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
212428218OTHERCAQH

General Provider Information

NPI Number : 1457639403
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA FAY GOOD CNM, ARNP
Provider Business Mailing Address
First Line : 12221 RENFERT WAY
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5444
Country : US
Telephone Number : 512-425-3825
Fax Number :
Provider Business Practice Location Address
First Line : 3600 W PARMER LN STE 108
Second Line :
City : AUSTIN
State : TX
Zip : 78727-4111
Country : US
Telephone Number : 512-368-9370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2011
Last Update Date : 05/05/2026

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