Type 1 individualNPI 1689508756

PHYLLIS GOINS

171WH0202X · RUSTON, LA

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 43 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
171WH0202X 171WH0202X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s