JENNIFER LACEY

SYLACAUGA, AL
NPI1538488143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-107400)
Enumeration Date2010-05-21
Last Update Date2010-05-21
Business Address
-- JENNIFER LACEY CRNP
315 W HICKORY ST
SYLACAUGA, AL 35150-2913
Phone number: 406-600-9186
Mailing Address
-- JENNIFER LACEY CRNP
PO BOX 202712
DALLAS, TX 75320-2712
Phone number: 866-961-6774