Individual provider · Type 1 NPI
Jessica Leigh Stacy, FNP
Family Nurse Practitioner · La Jolla, CA
NPI number
1407151780
Active
Practice location
9500 Gilman Dr
La Jolla, CA 92093-1921
Mailing address
725 Dewey Ave
Farmington, MO 63640-2935
Other practice locations
- 300 Health Way Dr, Potosi, MO 63664-1420 · (573) 436-5451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019028114 (MO) |
| Primary Care Nurse Practitioner | 363LP2300X | 95002256 (CA) |
| Family Nurse Practitioner | 363LF0000X | 2010042113 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 95002256 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407151780
Jessica Leigh Stacy, FNP's National Provider Identifier is 1407151780, issued on Jan 19, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Jolla, CA. The record was last updated on Apr 13, 2023.