MEDICARE: JENNIFER SUZANNE LACEY NUNN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	053008	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	187001	OTHER	GA	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891772943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER SUZANNE LACEY NUNN MD

Provider Business Mailing Address
First Line	:	178 HOSPITAL RD STE A
Second Line	:
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-3139
Country	:	US
Telephone Number	:	706-745-3671
Fax Number	:	706-481-2700

Provider Business Practice Location Address
First Line	:	178 HOSPITAL RD STE A
Second Line	:
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-3139
Country	:	US
Telephone Number	:	706-745-3671
Fax Number	:	706-481-2700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	12/07/2023

Similar Medicare Providers

1356344048 — DR. DANA CONNER M.D.
Practice Location Address:

35 HOSPITAL RD
BLAIRSVILLE, GA
30512-3139

Practice Phone: 706-745-2111
Practice Fax:

1700869773 — MS. JAYNEE LEE FULLER ARNP
Practice Location Address:

35 HOSPITAL RD
BLAIRSVILLE, GA
30512-3139

Practice Phone: 706-747-1036
Practice Fax: 706-747-1046

1033196183 — DR. SCOTT WELLS AINSWORTH MD
Practice Location Address:

35 HOSPITAL RD
BLAIRSVILLE, GA
30512-3139

Practice Phone: 706-745-8800
Practice Fax: 706-745-8805

1104804863 — JOHNATHAN PAUL VANSANT MD
Practice Location Address:

178 HOSPITAL RD , SUITE B
BLAIRSVILLE, GA
30512-3139

Practice Phone: 706-439-6862
Practice Fax: 706-439-6863

1265494785 — MRS. DUSTY LYNN JOHNSON CRNA
Practice Location Address:

35 HOSPITAL RD
BLAIRSVILLE, GA
30512-3139

Practice Phone: 610-453-1548
Practice Fax:

1063478691 — ALAN M SANDERS MD
Practice Location Address:

194 HOSPITAL RD
BLAIRSVILLE, GA
30512-3139

Practice Phone: 706-781-1966
Practice Fax: 706-781-1968

Directions to “ JENNIFER SUZANNE LACEY NUNN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.