Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lacie Petitto, APRN

Individual provider Pediatric Nurse Practitioner · NPI 1063796985

MS. Lacie Petitto, APRN is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
19
Licensed in
AR
In the registry since
2011
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1 Childrens Way
Little Rock, AR 72202-3500
Phone: (501) 364-5139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence A03583 (AR)

Record details

NPI number1063796985
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESMarch 11, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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