Individual provider · Type 1 NPI

Jennifer Lacey, CRNP

Nurse Practitioner · Sylacauga, AL

NPI number 1538488143 Active

Practice location

315 W Hickory St
Sylacauga, AL 35150-2913

Fax (781) 937-6442

Mailing address

PO Box 202712
Dallas, TX 75320-2712

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-107400 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1538488143

Jennifer Lacey, CRNP's National Provider Identifier is 1538488143, issued on May 21, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sylacauga, AL. The record was last updated on May 21, 2010.