MEDICARE: MRS. TRACY LOCKETT ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	ARNP 2706482	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659481158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRACY LOCKETT ARNP

Provider Business Mailing Address
First Line	:	4591 SE HANOVER CT
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-2458
Country	:	US
Telephone Number	:	772-288-4876
Fax Number	:

Provider Business Practice Location Address
First Line	:	2676 SW IMMANUEL DR
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-2738
Country	:	US
Telephone Number	:	772-219-4444
Fax Number	:	772-219-0550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1982608451 — JOHN E MALLEY DPM
Practice Location Address:

2664 SW IMMANUEL DR.
PALM CITY, FL
34990-2738

Practice Phone: 772-288-3338
Practice Fax: 772-288-3341

1174524011 — DR. ANNE MARIE MATESE D.O
Practice Location Address:

2676 SW IMMANUEL DR
PALM CITY, FL
34990-2738

Practice Phone: 772-219-4444
Practice Fax: 561-493-8172

1932299807 — DR. STEPHEN B ALLISON O.D.
Practice Location Address:

2660 SW IMMANUEL DR
PALM CITY, FL
34990-2738

Practice Phone: 772-283-1191
Practice Fax: 772-283-4899

1487710513 — PALM CITY PHYSICAL THERAPY, INC.
Practice Location Address:

2684 SW IMMANUEL DR
PALM CITY, FL
34990-2738

Practice Phone: 772-220-3444
Practice Fax: 772-220-3839

1407977499 — MRS. LAURA LEE KRAMER ARNP
Practice Location Address:

2676 SW IMMANUEL DR
PALM CITY, FL
34990-2738

Practice Phone: 772-219-4444
Practice Fax: 772-219-0550

1598977928 — DR. THOMAS C JONES DDS
Practice Location Address:

2688 SW IMMANUEL DR
PALM CITY, FL
34990-2738

Practice Phone: 772-286-8600
Practice Fax: 772-286-8667

Directions to “ MRS. TRACY LOCKETT ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.