Timika Shante Goodson, FNP-C, PMHNP-BC
Timika Shante Goodson, FNP-C, PMHNP-BC is a Nurse Practitioner in Upper Marlboro, Maryland. Qualified in 2017, 9 years ago. Licensed in District of Columbia and Maryland.
- Years since qualifying
- 9
- Licensed in
- DC, MD
- In the registry since
- 2020
- Specialties on file
- 6
What do these letters mean?
Practice location Address checks out
3421 Gentle Breeze Dr # AUpper Marlboro, MD 20772-2549
Phone: (443) 529-2027
Fax: (240) 306-9503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R228537 (MD) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence RN1055089 (DC) |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence RN1055089 (DC) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence R228537 (MD) |
| Community Health Registered Nurse | Taxonomy 163WC1500X · Licence RN1055089 (DC) |
| Home Health Registered Nurse | Taxonomy 163WH0200X · Licence R228537 (MD) |
Record details
| NPI number | 1053910794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-C , PMHNP-BC |
| Sole proprietor | No |
| NPI enumerated | October 23, 2020 |
| Last updated in NPPES | January 30, 2024 |
| Certification date | January 30, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Not indicated |
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