Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerusha Stacey, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1114512746

Jerusha Stacey, RN is a Nurse Practitioner in Tallahassee, Florida. Qualified in 1983, 43 years ago. Practices with Georgia Pines Community Service Board, a 13-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
43
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

112 Ware-Rhaney Bldg 334 Palmer Ave East
Tallahassee, FL 32307-0001
Phone: (850) 599-3017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN069963 (GA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN069963 (GA)

Record details

NPI number1114512746
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 5, 2021
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing addressPo Box 624, Ochlocknee, GA 31773-0624

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Georgia Pines Community Service Board — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare