Individual
CAITLIN LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 N CEDAR AVE, COOKEVILLE, TN 38501-2421
(931) 783-5353
(931) 783-4994
Mailing address
127 N OAK AVE, SUITE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3116
TN
363AS0400X
Surgical Physician Assistant
3116
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6080296
BCBS
TN
05
—
7100448340
—
KY
05
—
Q024834
—
TN
Enumeration date
10/05/2016
Last updated
03/31/2021
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