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Individual
MRS. AMY JOY LOCKETT
Active
Individual
MRS. AMY JOY LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
APRN9112255
FL
208VP0014X
Interventional Pain Medicine Physician
APRN9112255
FL
363A00000X
Physician Assistant
Primary
PA9112255
FL
363AM0700X
Medical Physician Assistant
103487
NC
363AM0700X
Medical Physician Assistant
9112255
FL
363AS0400X
Surgical Physician Assistant
103487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103867800
—
FL
Enumeration date
03/24/2006
Last updated
02/11/2025
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