Individual
JACKLYN SARAH ARAICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-0941
Mailing address
2016 HERITAGE LN, JACKSONVILLE, NC 28546-3215
(910) 581-2228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-06975
NC MEDICAL BOARD LICENSE NUMBER
NC
Enumeration date
08/31/2017
Last updated
01/12/2022
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