IndividualActive
Jerusha Stacey, RN
NPI 1114512746 · Psychiatric/Mental Health Nurse Practitioner · Tallahassee, FL
Provider details
- NPI number
- 1114512746
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN069963 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
112 Ware-Rhaney Building 334 Palmer Ave East
Tallahassee, FL 32307-0001
Phone: (850) 599-3017
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 624
Ochlocknee, GA 31773-0624
Registry dates
- Enumerated
- 2021-03-05
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.