Individual
MRS. JACKLYNN HUNT LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 739-3318
Mailing address
400 LIBERTY HILL RD, LUMBERTON, NC 28358-2446
(910) 739-3318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10339
NC
Other
Enumeration date
01/24/2020
Last updated
03/23/2023
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