DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER LASSITER, ACNPC-AG

Active Sole Proprietor

JENNIFER LASSITER, ACNPC-AG is a Acute Care Nurse Practitioner healthcare provider located in LIZELLA, Georgia. NPI 1679170740 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · LIZELLA, GA

Registration Details

NPI Number
1679170740
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2020 (5.8246877633278 yrs)
Last Updated
Oct 2, 2020
Licenses
RN164928 (GA)
RN164928 (GA)
Sole Proprietor
Yes

Practice Information

Address
4116 HOLLEY RD.
LIZELLA, GA, 31052
Browse GA providers · Browse ZIP 31052
Phone
4788082945
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.