| Doctor Name: | MRS. RAMONA LYNN GOOLSBY |
| NPI Number: | 1326006768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-CNP |
| License Number: | 594059 |
| Business Practice Address: | 601 Se Washington St Idabel, OK - 747453319 |
| Business Phone Number: | 5802866699 |
| Business Fax Number: | 5802866699 |
| Mailing Address: | 601 Se Washington St, IDABEL |
| State: | OK |
| Postal Code: | 747453319 |
| Phone Number: | 5802866688 |
| Fax Number: | 5802866699 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 06/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 594059 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |