Provider Demographics
NPI:1386381010
Name:LOKEY, JODI ROBERSON (RN)
Entity type:Individual
Prefix:MRS
First Name:JODI
Middle Name:ROBERSON
Last Name:LOKEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JODI
Other - Middle Name:ALICIA
Other - Last Name:ROBERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:133 ASHEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-7575
Mailing Address - Country:US
Mailing Address - Phone:423-280-9086
Mailing Address - Fax:
Practice Address - Street 1:133 ASHEVILLE DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-7575
Practice Address - Country:US
Practice Address - Phone:423-280-9086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN164957163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN164957OtherREGISTERED PROFESSIONAL NURSE