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JACQUELINE VENORA GOODGAME LPN
NPI 1073009627
Licensed Practical Nurse in Southfield, MI

Active since July 06, 2018
4000 TOWN CTR, SOUTHFIELD, MI 48075(248) 386-0300 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2018, Jul 6, 2018 (2 updates tracked since 2018).

About Jacqueline Venora Goodgame Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE VENORA GOODGAME LPN (NPI 1073009627) is an individual licensed practical nurse in Southfield, Michigan, licensed in Michigan (4703103750) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1073009627
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELINE VENORA GOODGAMECredential: LPN
Location Address4000 TOWN CTRSouthfield, MI 48075
Mailing Address4000 Town CtrSouthfield, MI 48075-1410
Phone(248) 386-0300
Sole ProprietorNo
Enumeration DateJuly 6, 2018
Last NPPES UpdateAugust 16, 20182 updates tracked since enumeration
✔ NPI 1073009627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703103750
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4000 TOWN CTR, Southfield, MI 48075
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHEZ BURSE
Community Health Worker
4000 TOWN CTR
SOUTHFIELD, MI 48075
Oakland County (586) 339-2178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Goodgame's NPI number?

The NPI number for Jacqueline Goodgame is 1073009627. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Jacqueline Goodgame located?

Jacqueline Goodgame practices at 4000 Town Ctr, Southfield, MI 48075. The listed phone number is (248) 386-0300.

What is Jacqueline Goodgame's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Goodgame was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.