Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimalisa Locklear

Individual provider Nurse Practitioner · NPI 1306482500

Kimalisa Locklear is a Nurse Practitioner in Fayetteville, North Carolina. Qualified in 2019, 7 years ago. Practices with Carolina Cape Fear Medical Group, PA, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

3637 Cape Center Dr
Fayetteville, NC 28304-4457
Phone: (910) 491-1760
Fax: (910) 491-1764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5012570 (NC)

Record details

NPI number1306482500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2019
Last updated in NPPESNovember 22, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolina Cape Fear Medical Group, Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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