Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lacey Leigh Dietrich, ARNP

Individual provider Family Nurse Practitioner · NPI 1811481294

Mrs. Lacey Leigh Dietrich, ARNP is a Family Nurse Practitioner in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone: (904) 308-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1670 St Vincents Way, Middleburg, FL 32068-8447 — (904) 602-1400

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9316073 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence ARNP9316073 (FL)

Record details

NPI number1811481294
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

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