Provider Demographics
NPI:1881140713
Name:LOCKE, ALLISON FOREHAND (ARNP-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:FOREHAND
Last Name:LOCKE
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36344-1219
Mailing Address - Country:US
Mailing Address - Phone:334-588-0408
Mailing Address - Fax:334-588-0492
Practice Address - Street 1:169 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:AL
Practice Address - Zip Code:36344-1219
Practice Address - Country:US
Practice Address - Phone:334-588-0408
Practice Address - Fax:334-588-0492
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9208069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily