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Mr. Jeremy S Locke, NP
Nurse Practitioner in Tyler, Texas
NPI 1518214493

Jeremy S Locke is a Nurse Practitioner based in Dallas, TX. Jeremy S Locke practices in Tyler, TX and has the professional credentials of NP. The NPI Number for Jeremy S Locke is 1518214493 and holds a License No. 697331 (Texas).

The current practice location address for Jeremy S Locke is 1020 E Idel St, Tyler, TX and can be reached out via phone at 903-535-2902 and via fax at 903-535-9217. You can also correspond with Jeremy S Locke through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-324-6400).

Location: 1020 E Idel St, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518214493
Provider Name
Jeremy S Locke
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1020 E Idel St, Tyler, TX, 75284-6098
Phone Number
903-535-2902
Fax Number
903-535-9217
Provider Enumeration Date
08/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8JX709 01 TX BCBS
693349 01 TX MEDICARE
308071505 05 TX
institution
Provider Business Practice Location Address Details
Address
1020 E Idel St
City
Tyler
State
Texas
Zip
75701
Phone Number
903-535-2902
Fax Number
903-535-9217
person
Provider Business Mailing Address Details
Address
1020 E Idel St
City
Tyler
State
Texas
Zip
75701
Phone Number
903-535-2902
Fax Number
903-535-9217
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
697331 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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