Search › Georgia › 363LF0000X
Jacob Larison, FNP-C
NPI 1467196782 · on the registry since 2022 · sole proprietor
Practice
- Address
- 115 Genevieve Ct
Peachtree City, GA 30269 - Phone
- (682) 216-9595
- Clinicians at this address
- 5
Additional practice sites
- 115 Oak Hill Blvd # 100, Newnan, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia