Individual
BETTY LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
641 E POPLAR AVE, 641 EAST POPLAR, SELMER, TN 38375-1828
(731) 645-5753
(731) 645-9885
Mailing address
641 E POPLAR AVE, 641 EAST POPLAR, SELMER, TN 38375-1828
(731) 645-5753
(731) 645-9885
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 68445
TN
Other
Enumeration date
12/04/2006
Last updated
07/09/2007
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