Provider Demographics
NPI:1598854325
Name:OXENDINE, MONICA LOCKLEAR (CNM)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LOCKLEAR
Last Name:OXENDINE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 OAKRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2330
Practice Address - Country:US
Practice Address - Phone:910-738-2454
Practice Address - Fax:910-272-7165
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11723367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMW0186Medicaid
NCQ43311AMedicare PIN
SCQ355786838Medicare PIN