Individual
JACOB ALEXANDER LARISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
115 GENEVIEVE CT, PEACHTREE CITY, GA 30269-4803
(682) 216-9595
Mailing address
34 CHERRY TREE BND, NEWNAN, GA 30265-2602
(682) 216-9595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299713
GA
363LF0000X
Family Nurse Practitioner
Primary
RN299713
GA
Other
Enumeration date
04/22/2022
Last updated
01/29/2024
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