Healthcare Provider Details

I. General information

NPI: 1811343148
Provider Name (Legal Business Name): CARMEN ASHLEY LOCKARD A-GNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARMEN HARRIS

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 W MAIN ST
FRANKLIN TN
37064-3333
US

IV. Provider business mailing address

PO BOX 22239
NEW YORK NY
10087-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-794-8217
  • Fax:
Mailing address:
  • Phone: 702-899-0595
  • Fax: 702-977-1496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number2817
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number32630
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2817
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: