Individual
ANGELA G LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
430 COLLEGE DR STE 104-106, MIDDLEBURG, FL 32068-8530
(904) 298-1994
(904) 298-1973
Mailing address
430 COLLEGE DR STE 104-106, MIDDLEBURG, FL 32068-8530
(904) 298-1994
(904) 298-1973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9243331
FL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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