NPI 1336738293 · live from the CMS NPI Registry
Jonathan Perry Goodwin, APRN
Nurse Practitioner, Family in Tulsa, OK. National Provider Identifier 1336738293, active.
NPI record
| NPI | 1336738293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4110 S 100th East Ave Ste 201, Tulsa, OK 74146 |
| Practice phone | 918-857-7246 |
| Enumerated | January 14, 2021 |
| Last updated | December 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 201903 (OK) |
| Registered Nurse, General Practice | 163WG0000X | R0129507 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.