Provider Demographics
NPI:1144016676
Name:GOOD, JANELL (PA)
Entity type:Individual
Prefix:
First Name:JANELL
Middle Name:
Last Name:GOOD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:11868 COLLEGE BACKBONE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCESS ANNE
Mailing Address - State:MD
Mailing Address - Zip Code:21853
Mailing Address - Country:US
Mailing Address - Phone:410-651-6783
Mailing Address - Fax:
Practice Address - Street 1:11868 COLLEGE BACKBONE RD, PRINCESS ANNE
Practice Address - Street 2:
Practice Address - City:PRINCESS ANNE
Practice Address - State:MD
Practice Address - Zip Code:21853
Practice Address - Country:US
Practice Address - Phone:410-651-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-06-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant