Search › North Carolina › 363A00000X
Jodi Lackey, MBA, MHA, MMSC, PA-C
NPI 1568551729 · on the registry since 2006
Practice
- Address
- 4100 Carmel Rd
Charlotte, NC 28226 - Phone
- (864) 288-8280
- Organisation at this address
- Cvs Health
North Carolina Cvs Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363AS0400X
363AS0400X
363AS0400X - Licence states on file
- SC, NC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina