Individual provider · Type 1 NPI

Macie Lee Ricketts, NP

Nurse Practitioner · Jacksonville, NC

NPI number 1013855790 Active

Practice location

2145 Country Club Rd Ste 800
Jacksonville, NC 28546-2404

Fax (910) 251-0421

Mailing address

PO Box 5105
Belfast, ME 04915-5100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5024360 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013855790

Macie Lee Ricketts, NP's National Provider Identifier is 1013855790, issued on Mar 23, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, NC. The record was last updated on May 22, 2026.