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WANDA JEAN GOODRICH
NPI 1194356576
Licensed Practical Nurse in Kennett, MO

Active since February 04, 2020
935 STATE ROUTE VV, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda Jean Goodrich NPPES

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

WANDA JEAN GOODRICH (NPI 1194356576) is an individual licensed practical nurse in Kennett, Missouri, licensed in Missouri (2007026784) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1194356576
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameWANDA JEAN GOODRICH
Location Address935 STATE ROUTE VVKennett, MO 63857-3822
Mailing Address935 State Route VvKennett, MO 63857-3822 · (573) 888-5925
Phone(573) 888-5925
Sole ProprietorNo
Enumeration DateFebruary 4, 2020
✔ NPI 1194356576 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 MO · 2007026784
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.
935 STATE ROUTE VV, Kennett, MO 63857
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Other Providers at the Same Location NPPES 20

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

JEREMY ALLEN TUCKER
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 888-5925
MRS. TERESA BRASHER LCSW
Social Worker (Clinical)
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 888-5925
NELLY CAROLINA HERNANDEZ-VILLELA
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 888-5925
CHASE KELGOR JOHNSON
Community Health Worker
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2430
JASON B RYAN PLPC
Counselor (Professional)
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 888-5925
BRITTANY WILLIAMS PLPC
Counselor (Professional)
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 888-5925
AVA MARIE JONES
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 888-5925
ROSA LLOYD
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 888-5925

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 Wanda Goodrich's NPI number?

The NPI number for Wanda Goodrich is 1194356576. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Wanda Goodrich located?

Wanda Goodrich practices at 935 State Route Vv, Kennett, MO 63857. The listed phone number is (573) 888-5925.

What is Wanda Goodrich'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 Wanda Goodrich was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.