Individual
MADELINE KELLIE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5045 OLD HICKORY BLVD STE 203, HERMITAGE, TN 37076-2591
(615) 933-3633
Mailing address
5045 OLD HICKORY BLVD STE 203, HERMITAGE, TN 37076-2591
(615) 933-3633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
249815
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
32847
TN
Other
Enumeration date
07/27/2021
Last updated
12/04/2025
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