Provider Demographics
NPI:1255771002
Name:SZCZEPANIAK LOCKE, JODILEE (ACNP)
Entity type:Individual
Prefix:MS
First Name:JODILEE
Middle Name:
Last Name:SZCZEPANIAK LOCKE
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 NORTH ST STE 407
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4172
Mailing Address - Country:US
Mailing Address - Phone:413-445-6420
Mailing Address - Fax:
Practice Address - Street 1:777 NORTH ST STE 407
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4172
Practice Address - Country:US
Practice Address - Phone:413-445-6420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN216650363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care