Lacey Jean Wildeboer, PA
Lacey Jean Wildeboer, PA is a Physician Assistant in Kenly, North Carolina. Qualified in 2017, 9 years ago. Practices with UNC Physicians Network LLC, a 986-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.
- Years since qualifying
- 9
- Licensed in
- NC
- In the registry since
- 2017
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
400 N Englewood DrKenly, NC 27542-9290
Phone: (919) 284-4149
Fax: (919) 284-6008
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 7201 Us Highway 64 E, Knightdale, NC 27545-9268 — (919) 266-7600
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0010-07379 (NC) |
|---|
Record details
| NPI number | 1477077089 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 26, 2017 |
| Last updated in NPPES | October 3, 2025 |
| Certification date | October 3, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Unc Physicians Network Llc — 986 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |