Individual
JACKI SUE DEGOLYER
Active
Individual
JACKI SUE DEGOLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0996679-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
5019545
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175594
COLORADO REGISTERED NURSE LICENSE
CO
01
—
0996679-NP
ADVANCED PRACTICE NURSE
CO
01
—
227042
CDE SPECIAL SERVICE PROVIDER
CO
01
—
364412
REGISTERED NURSE
NC
01
—
5019545
ADVANCED PRACTICE NURSE
NC
Enumeration date
07/09/2021
Last updated
12/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up