Individual
TRACIE ABEE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
200 DOCTORS DR STE H, JACKSONVILLE, NC 28546-6308
(910) 353-0565
Mailing address
200 DOCTORS DR STE H, JACKSONVILLE, NC 28546-6308
(910) 353-0565
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5016968
NC
363LG0600X
Gerontology Nurse Practitioner
LANC-2SEGA
NC
Other
Enumeration date
09/26/2022
Last updated
10/30/2023
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