Individual
MRS. JENNIFER ANN LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
715 ROUTE 10 EAST, RANDOLPH, NJ 07869
(973) 328-9200
Mailing address
1 CORNELL DR, RANDOLPH, NJ 07869-3537
(973) 328-1969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NN-05169
NJ
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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