| Doctor Name: | GRETCHEN LAUREL GOODNIGHT |
| NPI Number: | 1134425705 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | ATP-000317 |
| Business Practice Address: | 1102 Crestwood Cir Mena, AR - 719535513 |
| Business Phone Number: | 4793947301 |
| Business Fax Number: | 4793947160 |
| Mailing Address: | 1102 Crestwood Cir, MENA |
| State: | AR |
| Postal Code: | 719535513 |
| Phone Number: | 4793947301 |
| Fax Number: | 4793947160 |
| NPI Enumeration Date: | 01/31/2011 |
| NPI Last Update Date: | 12/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ATP-000317 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |