Organization Active NPI

Stacy Perez NP PLLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1558225524
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
STACY PEREZ NP PLLC
Practice address
508 Ellis Rd S Ste 118-B
Jacksonville, FL 32254
Phone
(904) 838-5243
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Stacy PerezNPI 1952021206
Title
Owner/NP
Phone
(904) 838-5243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

508 Ellis Rd S Ste 118-B
Jacksonville, FL 32254

Mailing address

508 Ellis Rd S Ste 118-B
Jacksonville, FL 32254

National Provider Directory

National Provider Directory

Locations

508 Ellis Rd S Ste 118B
Ste 118B
Jacksonville, FL 32254
Phone (904) 838-5243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1558225524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ELLIS RD S STE 118-B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ELLIS RD S STE 118-B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32254",
            "telephone_number": "904-838-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY PEREZ NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "904-838-5243"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.