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Individual

MRS. AMY JOY LOCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 233-4900
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 338-4900

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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