LACEY LEIGH DIETRICH

JACKSONVILLE, FL
NPI1811481294
Former NameLACEY LEIGH BAYSINGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN9316073)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9316073)
Enumeration Date2018-06-19
Last Update Date2023-05-31
Business Address
Mrs. LACEY LEIGH DIETRICH ARNP
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-5000
Mailing Address
Mrs. LACEY LEIGH DIETRICH ARNP
1842 SENTRY OAK CT
FLEMING ISLAND, FL 32003-3764
Phone number: 904-446-6789