JENNIFER LYNNE GODBOLD

SOUTHCENTRAL FOUNDATION

Dr JENNIFER LYNNE GODBOLD is a female medical professional, specializing in Certified Nurse Midwife (cnm). She graduated in 2018.

Contact

SOUTHCENTRAL FOUNDATION

101 AIRPORT RD
ILIAMNA
AK
99606

Tel: 9075711818

JENNIFER LYNNE GODBOLD Information

Npi 1801382536
Pac Id 3779832647
Professional Enrollment Id I20180827000836
Last Name GODBOLD
First Name JENNIFER
Middle Name LYNNE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty CERTIFIED NURSE MIDWIFE (CNM)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHCENTRAL FOUNDATION
Group Practice Pac Id 5496663627
Number Of Group Practice Members 127
Line 1 Street Address 101 AIRPORT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ILIAMNA
State AK
Zip Code 99606
Phone Number 9075711818
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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