Provider Demographics
NPI:1932087111
Name:GOODSON, TOKERA B (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TOKERA
Middle Name:B
Last Name:GOODSON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 PINE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:LA
Mailing Address - Zip Code:71001-3122
Mailing Address - Country:US
Mailing Address - Phone:318-263-7970
Mailing Address - Fax:
Practice Address - Street 1:1175 PINE ST STE 100
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:LA
Practice Address - Zip Code:71001-3122
Practice Address - Country:US
Practice Address - Phone:318-263-7970
Practice Address - Fax:318-263-2008
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA242019363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily