Individual
MRS. JODELLA LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
17 LIVERMORE DR, PEMBROKE, NC 28372-7282
(910) 775-0210
(910) 772-0110
Mailing address
17 LIVERMORE DR, PEMBROKE, NC 28372-7282
(910) 775-0210
(910) 775-0110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201788
NC
Other
Enumeration date
08/12/2005
Last updated
09/22/2022
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