Whalio Doctors

NPI 1124257282

Jennifer Goddard, MD

Practitioner Family Medicine Physician Prescott, AZ

Practice location

Address
1050 Gail Gardner Way STE 100, Prescott, AZ 86305-1631
Phone
(928) 777-0700
Fax
(928) 445-4464
Mailing address
PO Box 10880, Prescott, AZ 86304-0880

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 63630 (AZ)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 32040 (SC)

Registry record

NPI
1124257282
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2009
Record last updated
17 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.