Individual
DEBORAH JANE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
342 LOOP RD, RAEFORD, NC 28376-7672
(910) 691-1637
Mailing address
342 LOOP RD, RAEFORD, NC 28376-7672
(910) 691-1637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
268375
NC
163W00000X
Registered Nurse
95082401
CA
Other
Enumeration date
09/28/2023
Last updated
01/10/2024
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