Provider Demographics
NPI:1306720776
Name:GOOLSBY, TALISHA J (RN)
Entity type:Individual
Prefix:
First Name:TALISHA
Middle Name:J
Last Name:GOOLSBY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 HILL ST
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-2792
Mailing Address - Country:US
Mailing Address - Phone:936-632-1139
Mailing Address - Fax:936-632-3929
Practice Address - Street 1:503 HILL ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-2792
Practice Address - Country:US
Practice Address - Phone:936-632-1139
Practice Address - Fax:936-632-3929
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX807927163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse