LACI JARRELL PITTS - NPI 1336966720 - Nurse Practitioner in Tifton, GA

Q: What is Laci Pitts's NPI number?

The NPI number for Laci Pitts is 1336966720. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Q: What is Laci Pitts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laci Pitts was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Laci Jarrell Pitts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACI JARRELL PITTS (NPI 1336966720) is an individual family provider in Tifton, Georgia, licensed in Georgia (RN279870) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1336966720

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLACI JARRELL PITTS

Location Address1805 TIFT AVE N STE DTifton, GA 31794-3579

Mailing Address1805 Tift Ave N Ste DTifton, GA 31794-3579 · (229) 382-5554 · Fax (229) 382-0530

Phone(229) 382-5554

Fax(229) 382-0530

Sole ProprietorNo

Enumeration DateSeptember 25, 2024

NPPES CertifiedSeptember 25, 2024

✔ NPI 1336966720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN279870

1805 TIFT AVE N STE D, Tifton, GA 31794

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVY GAY

Nurse Practitioner (Family)