Individual
JAMIE L LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2452 ROUTE 9, MALTA, NY 12020
(518) 245-3837
(518) 245-3840
Mailing address
26 WILEY WAY, CORINTH, NY 12822-1716
(518) 538-1533
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405848
NY
Other
Enumeration date
04/16/2024
Last updated
05/21/2024
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