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STACIE LA JEUNESSE CPNP
NPI 1053447870
Nurse Practitioner - Pediatrics in Grass Valley, CA

Active since February 26, 2007
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945(530) 274-9762(530) 273-7255 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie La Jeunesse Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE LA JEUNESSE CPNP (NPI 1053447870) is an individual pediatrics provider in Grass Valley, California, licensed in North Carolina (300243) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1053447870
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACIE LA JEUNESSECredential: CPNP
Location Address844 OLD TUNNEL RDGrass Valley, CA 95945-8524
Mailing Address844 Old Tunnel RdGrass Valley, CA 95945-8524 · (530) 274-9762 · Fax (530) 273-7255
Phone(530) 274-9762
Fax(530) 273-7255
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1053447870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NC · 300243
844 OLD TUNNEL RD, Grass Valley, CA 95945
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA GEKAS CNM, WHNP
Registered Nurse (Women's Health Care, Ambulatory)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
ASHLEY MICHELLE CHURCH PA-C
Physician Assistant (Medical)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
WESTERN SIERRA MEDICAL CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
CLINIC PHARMACIES III LLC
Pharmacy (Community/Retail Pharmacy)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-0182
HAVILYN MICHELE HARRAR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
MS. KATELYN MARIE FERNANDEZ PA-C, RD
Physician Assistant
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
MORGAN DEE NETTLES STEWART WHNP
Nurse Practitioner (Women's Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
JESSICA LEE LUSIGNAN FNP-BC
Nurse Practitioner (Family)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie La Jeunesse's NPI number?

The NPI number for Stacie La Jeunesse is 1053447870. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Stacie La Jeunesse located?

Stacie La Jeunesse practices at 844 Old Tunnel Rd, Grass Valley, CA 95945. The listed phone number is (530) 274-9762.

What is Stacie La Jeunesse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Stacie La Jeunesse was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.