Healthcare Provider Details

I. General information

NPI: 1982940417
Provider Name (Legal Business Name): REBECCA LOCKWOOD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 03/13/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PARK AVE
ASHEVILLE NC
28803-2056
US

IV. Provider business mailing address

14 PARK AVE
ASHEVILLE NC
28803-2056
US

V. Phone/Fax

Practice location:
  • Phone: 954-854-8598
  • Fax:
Mailing address:
  • Phone: 954-854-8598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9266476
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5014918
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: