Individual provider · Type 1 NPI
Jennifer Lassiter, ACNPC-AG
Acute Care Nurse Practitioner · Lizella, GA
NPI number
1679170740
Active
Practice location
4116 Holley Rd.
Lizella, GA 31052
Mailing address
PO Box 759
Lizella, GA 31052-0759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN164928 (GA) |
| Gerontology Nurse Practitioner | 363LG0600X | RN164928 (GA) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1679170740
Jennifer Lassiter, ACNPC-AG's National Provider Identifier is 1679170740, issued on Oct 2, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lizella, GA. The record was last updated on Oct 2, 2020.