Individual
MACIE WALLACE RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2145 COUNTRY CLUB RD STE 800, JACKSONVILLE, NC 28546-2404
(910) 332-3800
(910) 251-0421
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1234567
NC
363L00000X
Nurse Practitioner
Primary
5024360
NC
Other
Enumeration date
03/23/2026
Last updated
04/20/2026
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