Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE LA JEUNESSE, CPNP
ActiveSTACIE LA JEUNESSE, CPNP is a Pediatric Nurse Practitioner healthcare provider located in GRASS VALLEY, California. NPI 1053447870 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · GRASS VALLEY, CA
Registration Details
- NPI Number
- 1053447870
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2007 (19.461200506746 yrs)
- Last Updated
- Nov 30, 2022
- License
-
300243 (NC)
Practice Information
- Address
-
844 OLD TUNNEL RDGRASS VALLEY, CA, 959458524Browse CA providers · Browse ZIP 95945
- Phone
- 5302749762
- Fax
- 5302737255
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in GRASS VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| MS. KRISTINE L. JESSEN-MATHER | NP #NPF4647 | 1942307673 |
| MS. POLLY KAY CONLEY | R.N., P.N.P | 1487904074 |
| MRS. LINDSAY FREDRICKSON | RN, CPNP | 1770963977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.