Individual
JACLYN ELIZABETH LADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
202 MALLOY ST STE B, GOLDSBORO, NC 27534-4477
(919) 751-7665
Mailing address
202 MALLOY ST STE B, GOLDSBORO, NC 27534-4477
(919) 751-7665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-13404
NC
Other
Enumeration date
07/31/2023
Last updated
12/28/2023
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