IndividualActive
Ebony Lassiter
NPI 1083551501 · Nurse's Aide · Archer, FL
Provider details
- NPI number
- 1083551501
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CNA54803 (FL)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
12623 Sw Sr 45
Archer, FL 32618-5682
Phone: (352) 225-0142
Approximate (ZIP-level) locationGet directions
Mailing address
12623 Sw Sr 45
Archer, FL 32618-5682
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.