Individual
PRISCILLA ANNE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 491-1760
Mailing address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 491-1760
(910) 491-1764
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5013158
NC
Other
Enumeration date
06/07/2020
Last updated
06/15/2020
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