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

Mrs. Jacy Kathleen Godsey, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1376039057

Mrs. Jacy Kathleen Godsey, APRN-CNP is a Family Nurse Practitioner in San Manuel, Arizona. Licensed in Arizona and Oklahoma. Registered with an NPI since 2018.

Licensed in
AZ, OK
In the registry since
2018
Specialties on file
2

Practice location Address checks out

23 S McNab Pkwy
San Manuel, AZ 85631-1156
Phone: (520) 385-2234
Fax: (520) 381-3209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 250278 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 106718 (OK)

Record details

NPI number1376039057
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

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