Individual provider · Type 1 NPI

Tiffany Marie Lock, APRN

Gerontology Nurse Practitioner · Kissimmee, FL

NPI number 1639846454 Active

Practice location

804 Emmett St
Kissimmee, FL 34741-5434

Fax (407) 553-3061

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11015090 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1639846454

Tiffany Marie Lock, APRN's National Provider Identifier is 1639846454, issued on Aug 28, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Kissimmee, FL. The record was last updated on Jun 23, 2026.