Individual
TARA LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
464 HERNDON PKWY STE 216, HERNDON, VA 20170-5200
(866) 306-2026
(267) 780-7032
Mailing address
338 1ST AVE SW, TAYLORSVILLE, NC 28681-2402
(828) 632-9704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009810
NC
363LF0000X
Family Nurse Practitioner
5009810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT8002785
DEA NUMBER
VA
Enumeration date
08/23/2017
Last updated
11/06/2025
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