Individual ProviderShenelle K GoodenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address125 Paterson St Ste 4200, New Brunswick, NJ 08901-1962(732) 235-6600PECOS EnrollmentBased on the most recent information from CMS, provider Shenelle K Gooden does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1619756442Provider TypeIndividualFull NameGooden, Shenelle KCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date9/21/2023Last Updated4/4/2024Contact InformationPractice LocationPractice Address125 Paterson St Ste 4200, New Brunswick, NJ 08901-1962Phone(732) 235-6600FaxUnlisted FaxMailing LocationMailing Address125 Paterson St Ste 4200, New Brunswick, NJ 08901-1962PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ14933400New JerseyCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense352829New York