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

Stacia Jeppson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386048247

Stacia Jeppson is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3018 Lake Shore Dr
Minneapolis, MN 55416-4282
Phone: (320) 493-8522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC02209 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 411946275 (MN)

Record details

NPI number1386048247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2014
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

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