| Doctor Name: | MRS. LAURA RENE GOFF |
| NPI Number: | 1053618074 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 16624 |
| Business Practice Address: | 127 N Oak Ave Suite A Cookeville, TN - 385012435 |
| Business Phone Number: | 9317832648 |
| Business Fax Number: | 9317832649 |
| Mailing Address: | 127 N Oak Ave, Suite D COOKEVILLE |
| State: | TN |
| Postal Code: | 385012435 |
| Phone Number: | 9317835857 |
| Fax Number: | 9315266760 |
| NPI Enumeration Date: | 02/28/2011 |
| NPI Last Update Date: | 10/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 16624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |