Individual
JASMINE MARIE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2334 SOUTH 41ST ST, WILMINGTON, NC 28403-5502
(800) 999-9883
Mailing address
705A WESLEY PINES RD, LUMBERTON, NC 28358-2105
(910) 885-5951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012999
NC
Other
Enumeration date
04/02/2020
Last updated
06/10/2022
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