Provider Demographics
NPI:1013163054
Name:LOCKARD, JOYCE PENNINGTON (FNP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:PENNINGTON
Last Name:LOCKARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 GLENDA ST
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-3513
Mailing Address - Country:US
Mailing Address - Phone:318-334-6051
Mailing Address - Fax:318-334-6083
Practice Address - Street 1:203 GLENDA ST
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-3513
Practice Address - Country:US
Practice Address - Phone:318-334-6051
Practice Address - Fax:318-334-6083
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO5568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAPO5568OtherFNP LICENSE NUMBER