STACIE LA JEUNESSE (NPI# 1053447870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053447870 |
| Entity Type | Individual |
| Full Name | STACIE LA JEUNESSE |
| Credential | CPNP |
| Practice Address |
2842 Neuse Blvd New Bern NC 28562-2839 |
| Mailing Address |
202 Walden Ct New Bern NC 28562-8993 |
| Practice Telephone | 2525144770 |
| Practice Fax Number | 2525144773 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
300243 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2842 NEUSE BLVD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497891642 | Erin Nicole Nolan | Physical Therapist | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-01-29 |
| 1942642574 | Andrea Marie Beames | Speech-Language Pathologist | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2013-07-24 |
| 1932340452 | Mary Mitchell Wuellner | Occupational Therapy Assistant | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2009-03-12 |
| 1508002940 | Kelli J. Voegele | Social Worker | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2009-01-06 |
| 1588833602 | Demarvis Augustus | Counselor | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2008-02-22 |
| 1801011234 | State of Nc Division of Health Services | Clinic/Center | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-04-13 |
| 1558480038 | Michele Tripp Cleland | Audiologist | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-03-28 |
| 1891812244 | Carolyn Dallas Conturo | Social Worker | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-03-23 |
| 1265569164 | Jessica N. Hartsell | Physical Therapist | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-02-27 |
| 1699800615 | Laura Lyn Parker | Occupational Therapist | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306220975 | Christeanna Winslow Richardson | Nurse Practitioner | 703 Newman Rd, New Bern, NC 28562-5239 | 2015-07-14 |
| 1407920739 | Stanton W Ezzell | Nurse Practitioner | 703 Newman Rd, New Bern, NC 28562-5239 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.