Individual
JESSICA LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5073 MAIN ST STE 200, SPRING HILL, TN 37174-2738
(931) 451-0483
Mailing address
112 SHANNON PL, SPRING HILL, TN 37174-2242
(615) 579-1148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36676
TN
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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