Individual
JENNIFER REBECCA LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10000 ANNS CHOICE WAY, WARMINSTER, PA 18974-3527
(215) 443-3850
(215) 443-3963
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(215) 443-8350
(215) 443-3963
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007754
PA
363LG0600X
Gerontology Nurse Practitioner
SP00755
PA
Other
Enumeration date
08/27/2006
Last updated
02/26/2026
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