Individual
MRS. JACY KATHLEEN GODSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
23 S MCNAB PKWY, SAN MANUEL, AZ 85631-1156
(520) 385-2234
(520) 381-3209
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
250278
AZ
363LF0000X
Family Nurse Practitioner
106718
OK
Other
Enumeration date
07/06/2018
Last updated
01/26/2021
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