Provider Demographics
NPI:1740156272
Name:GOULDING, JENNIFER MARGUERITE
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARGUERITE
Last Name:GOULDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 VT 12 APT D
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05048-9460
Mailing Address - Country:US
Mailing Address - Phone:978-502-7966
Mailing Address - Fax:
Practice Address - Street 1:16 VT 12 APT D
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:VT
Practice Address - Zip Code:05048-9460
Practice Address - Country:US
Practice Address - Phone:978-502-7966
Practice Address - Fax:978-502-7966
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0153053163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty