Stacie Dee O'Brien

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9551683 Issued in FL

Practice address

630 Roberts Rd
Jacksonville, FL 32259-8915

Phone

(952) 201-5375

NPI assigned

Sep 22, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1437021219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ROBERTS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322598915",
            "telephone_number": "952-201-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ROBERTS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322598915",
            "telephone_number": "952-201-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "STACIE",
        "middle_name": "DEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PSI43685",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9551683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen O'Brien
• Maureen O'Brien, M.D.
• Melanie Jill O'Brien
• Melville Clay O'Brien
• Patrick O'Brien, LMHC
• Tara O'Brien, BCABA
• Whitney O'Brien, RD
• Agatha O'Connell
• Benjamin T O'Connell, D.O.
• Florence Marie-Louise O'Connell, M.D.

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.