Tasha Lee Godbolt
Tasha Lee Godbolt is a Nurse Practitioner in Roselle Park, New Jersey. Qualified in 2023, 3 years ago. Practices with Nurse Practitioner Professional Resources, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.
- Years since qualifying
- 3
- Licensed in
- NJ
- In the registry since
- 2023
Practice location Address checks out
141 Chestnut St Ste 201Roselle Park, NJ 07204-2282
Phone: (973) 223-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence 0 (NJ) |
|---|
Record details
| NPI number | 1457034951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 10, 2023 |
| Last updated in NPPES | February 26, 2024 |
| Certification date | February 26, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Nurse Practitioner Professional Resources — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |