Individual
ALLISON LOCKLEAR JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4303 LUDGATE ST, LUMBERTON, NC 28358
(910) 272-3030
(910) 618-1009
Mailing address
4303 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 272-3030
(910) 618-1009
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005580
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225303746
BCBSNC
NC
05
—
7006022
—
NC
01
—
F0212263
AANP
NC
Enumeration date
03/16/2012
Last updated
08/03/2018
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