JENNIFER LASSITER ACNPC-AG
NPI 1679170740
Nurse Practitioner - Acute Care in Lizella, GA

Active since October 02, 2020
4116 HOLLEY RD., LIZELLA, GA 31052(478) 808-2945 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Lassiter Acnpc-ag NPPES

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

JENNIFER LASSITER ACNPC-AG (NPI 1679170740) is an individual acute care provider in Lizella, Georgia, licensed in Georgia (RN164928) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1679170740
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER LASSITERCredential: ACNPC-AG
Location Address4116 HOLLEY RD.Lizella, GA 31052
Mailing AddressPo Box 759Lizella, GA 31052-0759 · (478) 808-2945
Sole ProprietorYes
Enumeration DateOctober 2, 2020
NPPES CertifiedOctober 2, 2020
NPI 1679170740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN164928
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN164928 (GA)
4116 HOLLEY RD., Lizella, GA 31052

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jennifer Lassiter's NPI number?

The NPI number for Jennifer Lassiter is 1679170740. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Where is Jennifer Lassiter located?

Jennifer Lassiter practices at 4116 Holley Rd., Lizella, GA 31052. The listed phone number is (478) 808-2945.

What is Jennifer Lassiter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Jennifer Lassiter was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.