STACY PATREACE GODWIN LPN WCC NPI 1750917001

NPI Information

  • NPI: 1750917001
  • Provider Name: STACY PATREACE GODWIN, LPN WCC
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 7082 SAINT IVES CT
    JACKSONVILLE, FL
    ZIP 32244
  • Phone: (904) 306-6623

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NPI Details

Stacy Patreace Godwin, LPN WCC is a licensed practical nurse in Jacksonville, FL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Stacy Patreace Godwin, LPN WCC NPI is 1750917001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7082 SAINT IVES CT
JACKSONVILLE, FL
ZIP 32244-300
Phone: (904) 306-6623

The enumeration date for this NPI number is 3/19/2020 and was last updated on 3/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NursePN5217349FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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