Mrs. Amy J. Lockett PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Mrs. Amy Joy Lockett PA-C
NPI Number
1407816234
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/24/2006
Specialties
(Taxonomies)Name
Code
363A00000X
207R00000X
208VP0014X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
Florida
Florida
Florida
North Carolina
License Number
PA9112255
APRN9112255
9112255
103487
Contact
Information
Purpose
Mailing
Location
Address
5011 GATE PARKWAY
5011 GATE PARKWAY
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32256-5597
32256-3225
Country
US
US
Telephone Number
(904) 512-7239
(904) 512-7239
Identifiers
Identifier
103867800
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/11/2022
Provider Address
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