Locke, Destiny H

Locke, Destiny H is an individual health care provider with primary practice located at 155 Health Way Suite 2, Mc Minnville TN 37110-2658. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Locke, Destiny H can be contacted via phone (931) 473-4214.

Contact Information

Primary practice address
155 Health Way Suite 2 Mc Minnville TN 37110-2658
Phone: (931) 473-4214
Fax: (931) 473-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X APN0000007194 Tennessee

Profile Details

NPI number 1972543072
LBN Legal business name Locke, Destiny H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972543072 NPPES
Tennessee MEDICAID 3904079
Tennessee MEDICAID 3732438
Tennessee Other 4167862
Tennessee MEDICAID 3719062

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