Individual
MS. JANICE DOROTHY LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, GNP-BC
Contact information
Practice address
41100 FOX RUN, NOVI, MI 48377-4804
(248) 668-8650
(248) 668-8651
Mailing address
5525 RESEARCH PARK DRIVE, 4TH FLOOR, BALTIMORE, MD 21228-4664
(248) 668-8650
(248) 668-8650
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704136295
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223695886
TRICARE NORTH
—
01
—
83-20307
EVERCARE
—
Enumeration date
06/28/2006
Last updated
05/06/2015
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