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MRS. ISIS ANDREA GOODSON LPN
NPI 1689176307
Licensed Practical Nurse in Fayetteville, NC

Active since March 08, 2018
1233 MINGARY AVE, FAYETTEVILLE, NC 28306(910) 977-0703(910) 977-0703 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 8, 2018 (2 updates tracked since 2018).

About Mrs. Isis Andrea Goodson Lpn NPPES

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

MRS. ISIS ANDREA GOODSON LPN (NPI 1689176307) is an individual licensed practical nurse in Fayetteville, North Carolina, licensed in North Carolina (058633) and active in the NPI registry since March 2018. She maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1689176307
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. ISIS ANDREA GOODSONCredential: LPN
Location Address1233 MINGARY AVEFayetteville, NC 28306-3558
Mailing Address1233 Mingary AveFayetteville, NC 28306-3558 · (910) 977-0703
Phone(910) 977-0703
Fax(910) 977-0703
Sole ProprietorYes
Enumeration DateMarch 8, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1689176307 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 NC · 058633
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.
1233 MINGARY AVE, Fayetteville, NC 28306
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Secondary Practice Location 1

Location 11233 Mingary AveFayetteville, NC 28306-3558 · Phone (910) 977-0703

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 Isis Goodson's NPI number?

The NPI number for Isis Goodson is 1689176307. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Isis Goodson located?

Isis Goodson practices at 1233 Mingary Ave, Fayetteville, NC 28306. The listed phone number is (910) 977-0703.

What is Isis Goodson'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 Isis Goodson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.