Individual provider · Type 1 NPI
Lacey Daniel Pruitt
Family Nurse Practitioner · Dacula, GA
NPI number
1588533764
Active
Practice location
3603 Marys View Ln
Dacula, GA 30019-1616
Other practice locations
- 1897 Highway 211 NW Ste 100, Hoschton, GA 30548-3513 · (678) 820-7979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN230950 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1588533764
Lacey Daniel Pruitt's National Provider Identifier is 1588533764, issued on Nov 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dacula, GA. The record was last updated on Nov 4, 2025.