Individual
JACLYN ELIZABETH PARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 FODALE AVE, SOUTHPORT, NC 28461
(910) 457-9581
Mailing address
3213 SUNSET BEND CT, WILMINGTON, NC 28409-6012
(678) 986-7852
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021865
NC
Other
Enumeration date
03/11/2025
Last updated
03/25/2025
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