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Ms. Jodi Jean Lackey, MBA,MHA,MMSC,PA-C
Physician Assistant in Charlotte, North Carolina
NPI 1568551729

Jodi Jean Lackey is a Physician Assistant based in Clover, NC. Jodi Jean Lackey practices in Charlotte, NC and has the professional credentials of MBA,MHA,MMSC,PA-C. The NPI Number for Jodi Jean Lackey is 1568551729 and holds a License No. 1782 (North Carolina).

The current practice location address for Jodi Jean Lackey is 4100 Carmel Rd, Charlotte, NC and can be reached out via phone at 864-288-8280.

Location: 4100 Carmel Rd, Charlotte, NC, 29710-7201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568551729
Provider Name
Jodi Jean Lackey
Credential
MBA,MHA,MMSC,PA-C
Provider Entity Type
Individual
Gender
Female
Address
4100 Carmel Rd, Charlotte, NC, 29710-7201
Phone Number
864-288-8280
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0723PA 05 SC
institution
Provider Business Practice Location Address Details
Address
4100 Carmel Rd
City
Charlotte
State
North Carolina
Zip
28226-6150
Phone Number
864-288-8280
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Carmel Rd
City
Charlotte
State
North Carolina
Zip
28226-6150
Phone Number
864-288-8280
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-01518 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
1782 (South Carolina)
Definition
Definition to come...
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