Individual
NICHOLAS ALLEN LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1160 W PARKVIEW ST, BOLIVAR, MO 65613
(417) 328-7373
Mailing address
3817 S SPRINGFIELD AVE STE 140, BOLIVAR, MO 65613-9129
(417) 730-3508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021001430
MO
Other
Enumeration date
01/13/2021
Last updated
01/07/2026
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