Individual
MRS. JENNIFER LYNN LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3612 POWHATAN RD, CLAYTON, NC 27527-9217
(919) 550-2200
(919) 359-2529
Mailing address
109 FLORENCE DR, CLAYTON, NC 27527-9285
(304) 482-5146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
309908
NC
163W00000X
Registered Nurse
72510
WV
163W00000X
Registered Nurse
RN.408791-1
OH
363LF0000X
Family Nurse Practitioner
Primary
5011263
NC
Other
Enumeration date
05/16/2016
Last updated
03/01/2019
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