Individual
GINA LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP FNP-C
Contact information
Practice address
1421 NARROW LANE PKWY, MONTGOMERY, AL 36111-2654
(334) 284-3105
Mailing address
2015 2ND AVE STE 204, SUMMERVILLE, SC 29486-7889
(843) 793-6980
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-137090
AL
363LF0000X
Family Nurse Practitioner
3771099
ID
Other
Enumeration date
03/31/2022
Last updated
03/31/2026
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