Most Relevant Information
Provider Data
| NPI Number: | 1003647124 |
| Provider Name: | CRYSTAL MECHELLE LOCKETT APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 224753 |
Most Important Dates
| Enumeration Date: | 08/10/2024 |
| Last Updated: | 08/10/2024 |
Provider Practice Location
3140 HIGHWAY 32 N
HOPE
AR
718018807
Practice Location Phone/Fax
| Phone: | 8708263792 |
| Fax: |
Provider Mailing Location
3140 HIGHWAY 32 N
HOPE
AR
718018807
Provider Mailing Phone/Fax
| Phone: | 8708263792 |
| Fax: |