Jennifer Lassiter, ACNPC-AG is a
Nurse Practitioner - Acute Care based in Lizella, Georgia. Jennifer Lassiter is licensed to practice in Georgia (license number RN164928) and her current practice location is
4116 Holley Rd., Lizella, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 808-2945.
NPI number for Jennifer Lassiter is 1679170740 and her current mailing address is Po Box 759, Lizella, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679170740.
Provider's Profile
| Full Name | Jennifer Lassiter |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 4116 Holley Rd., Lizella, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679170740
- Provider Enumeration Date: 10/02/2020
- Last Update Date: 10/02/2020
Medical Identifiers
Medical identifiers for Jennifer Lassiter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679170740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | RN164928 (Georgia) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | RN164928 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Lassiter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Lassiter, ACNPC-AG Po Box 759, Lizella, GA 31052-0759 Ph: (478) 808-2945 | Jennifer Lassiter, ACNPC-AG 4116 Holley Rd., Lizella, GA 31052 Ph: (478) 808-2945 |
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