Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY JEAN
Active Sole ProprietorSTACY JEAN is a Family Nurse Practitioner healthcare provider located in PORT CHARLOTTE, Florida. NPI 1154965341 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PORT CHARLOTTE, FL
Registration Details
- NPI Number
- 1154965341
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2019 (6.7790710743645 yrs)
- Last Updated
- Jan 21, 2025
- License
-
11004751 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19531 COCHRAN BLVDPORT CHARLOTTE, FL, 339482081Browse FL providers · Browse ZIP 33948
- Phone
- 9412553535
- Fax
- 9417667999
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in PORT CHARLOTTE, FL
| Name | Credential | NPI |
|---|---|---|
| MS. VENDA KELLEY | ARNP | 1841294709 |
| DIANA CORPSTEIN | ARNP | 1265434625 |
| PAMELA KAY BOLTON | APRN | 1801883871 |
| MRS. BARBARA ANN FRASER | ARNP | 1619966124 |
| MARK P. RICHARD | N.P. | 1053378646 |
| MARY LOU NALDUCCI | ARNP | 1841235983 |
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.