Individual provider · Type 1 NPI
Kahleel Locke
Psychiatric/Mental Health Nurse Practitioner · Jonesboro, GA
NPI number
1396156188
Active
Practice location
70 Lafayettes Lndg
Jonesboro, GA 30238-6702
Mailing address
1415 Highway 85 N Ste 310-379
Fayetteville, GA 30214-7738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 754102 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407106 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP297748 (GA) |
| Registered Nurse | 163W00000X | RN297748 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1396156188
Kahleel Locke's National Provider Identifier is 1396156188, issued on May 14, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jonesboro, GA. The record was last updated on Nov 7, 2025.