JACOB ALEXANDER LARISON FNP-C
NPI 1467196782
Nurse Practitioner - Family in Peachtree City, GA

Active since April 22, 2022
115 GENEVIEVE CT, PEACHTREE CITY, GA 30269(682) 216-9595 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Alexander Larison Fnp-c NPPES

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

JACOB ALEXANDER LARISON FNP-C (NPI 1467196782) is an individual family provider in Peachtree City, Georgia, licensed in Georgia (RN299713) and active in the NPI registry since April 2022. He maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1467196782
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB ALEXANDER LARISONCredential: FNP-C
Location Address115 GENEVIEVE CTPeachtree City, GA 30269-4803
Mailing Address34 Cherry Tree BndNewnan, GA 30265-2602 · (682) 216-9595
Sole ProprietorYes
Enumeration DateApril 22, 2022
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
NPI 1467196782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN299713
Also ListedRegistered NurseTaxonomy 163W00000X · License RN299713 (GA)
115 GENEVIEVE CT, Peachtree City, GA 30269

Secondary Practice Location 1

Location 1115 Oak Hill Blvd # 100Newnan, GA 30265-2592 · Phone (682) 216-9595

Other Providers at the Same Location NPPES 4

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

Allergy & Immunology (Allergy)
115 GENEVIEVE CT
PEACHTREE CITY, GA 30269
Nurse Practitioner (Family)
115 GENEVIEVE CT
PEACHTREE CITY, GA 30269
Allergy & Immunology (Allergy)
115 GENEVIEVE CT
PEACHTREE CITY, GA 30269
Nurse Practitioner
115 GENEVIEVE CT
PEACHTREE CITY, GA 30269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Larison's NPI number?

The NPI number for Jacob Larison is 1467196782. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Jacob Larison located?

Jacob Larison practices at 115 Genevieve Ct, Peachtree City, GA 30269. The listed phone number is (682) 216-9595.

What is Jacob Larison's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Larison was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.