Individual provider · Type 1 NPI

Jerusha Stacey, NP-P/MH

Psychiatric/Mental Health Nurse Practitioner · Thomasville, GA

NPI number 1114512746 Active

Practice location

212 Grady St
Thomasville, GA 31792-6123

Call (229) 225-4370 Map

Fax (229) 225-4374

Mailing address

PO Box 624
Ochlocknee, GA 31773-0624

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN069963 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114512746

Jerusha Stacey, NP-P/MH's National Provider Identifier is 1114512746, issued on Mar 5, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Thomasville, GA. The record was last updated on Aug 12, 2026.