| Doctor Name: | BETTY LOCKE |
| NPI Number: | 1578621595 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN 68445 |
| Business Practice Address: | 641 E Poplar Ave 641 East Poplar Selmer, TN - 383751828 |
| Business Phone Number: | 7316455753 |
| Business Fax Number: | 7316459885 |
| Mailing Address: | 641 E Poplar Ave, 641 East Poplar SELMER |
| State: | TN |
| Postal Code: | 383751828 |
| Phone Number: | 7316455753 |
| Fax Number: | 7316459885 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN 68445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |