Individual
DR. JACQUELINE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FPMHNP
Contact information
Practice address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 626-0698
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2023037906
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2016003630
MO
Other
Enumeration date
06/09/2022
Last updated
02/12/2026
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