Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessie Lyn Stark, FNP-C

Individual provider Family Nurse Practitioner · NPI 1225873201

Jessie Lyn Stark, FNP-C is a Family Nurse Practitioner in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

16430 W Yuma Rd
Goodyear, AZ 85338-3102
Phone: (623) 465-6405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 306183 (AZ)

Record details

NPI number1225873201
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJune 30, 2024

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