Individual
GRACE MARGARET LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1420
Mailing address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R856467
MS
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R85647
MS
163WP0808X
Psychiatric/Mental Health Registered Nurse
R856467
MS
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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