Individual provider · Type 1 NPI

Jacob Alexander Larison, FNP-C

Family Nurse Practitioner · Peachtree City, GA

NPI number 1467196782 Active

Practice location

115 Genevieve Ct
Peachtree City, GA 30269-4803

Mailing address

34 Cherry Tree Bnd
Newnan, GA 30265-2602

Other practice locations

  • 115 Oak Hill Blvd # 100, Newnan, GA 30265-2592 · (682) 216-9595

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN299713 (GA)
Family Nurse Practitioner Primary 363LF0000XRN299713 (GA)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1467196782

Jacob Alexander Larison, FNP-C's National Provider Identifier is 1467196782, issued on Apr 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peachtree City, GA. The record was last updated on Jan 29, 2024.