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

Stacy Jean

Individual provider Family Nurse Practitioner · NPI 1154965341

Stacy Jean is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2019, 7 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone: (941) 255-3535
Fax: (941) 766-7999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6500 Grant St, Hollywood, FL 33024-5840 — (407) 922-0733

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11004751 (FL)

Record details

NPI number1154965341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 31, 2019
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Charlotte