Individual provider · NPI-1
Janice E Locke, CNP
Midwife · Portland, ME
NPI number1396738464
StatusActive
Last updated in NPPESOct 24, 2023
Details
- NPI
- 1396738464
- Entity type
- Individual (NPI-1)
- Name
- Janice E Locke
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2005
- Certification date
- Oct 24, 2023
- Last updated
- Oct 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | CNM142002 | ME | Yes |
| 364SF0001X | Clinical Nurse Specialist, Family Health | CNP81037 | ME |
Practice location
84 Marginal Way Ste 900Portland, ME 04101-2476
Phone 207-874-2445 · Fax 207-523-8598
Mailing address
100 Gannett Dr Ste CSouth Portland, ME 04106-5900
Phone 207-828-0361 · Fax 207-874-1483
Other practice locations
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