Individual Healthcare Provider
Jacqueline Locke, DNP, FPMHNP
Provider's NPPES record last updated: July 29, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1700515061
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Kirksville, Missouri
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 7:16 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X
Provider-Reported License Information
- Nurse Practitioner (Missouri)
- 2016003630
- Nurse Practitioner (Missouri)
- 2023037906
Practice Locations
Practice Location
2015 S Halliburton St
Kirksville, Missouri 63501-4646
Phone: (660) 626-0698
Additional Practice Location
235 Progress Rd
Hannibal, Missouri 63401-6637
Phone: (573) 603-1460
Fax: (573) 603-1462
Additional Practice Location
203 E Commercial St
Kahoka, Missouri 63445-1710
Phone: (660) 727-1111
Fax: (660) 727-1162
Additional Practice Location
141 Communication Dr
Hannibal, Missouri 63401-3670
Phone: (573) 603-1460
Fax: (573) 603-1462
Additional Practice Location
1101 Jamison St
Kirksville, Missouri 63501-3943
Phone: (660) 665-1962
Fax: (660) 627-0642
Additional Practice Location
210 N Williams St Unit C
Moberly, Missouri 65270-1583
Phone: (660) 263-7651
Fax: (660) 263-2815
Additional Practice Location
1628 Oklahoma Ave
Trenton, Missouri 64683-2565
Phone: (660) 359-4600
Fax: (660) 359-4286
Additional Practice Location
900 E Laharpe St
Kirksville, Missouri 63501-4520
Phone: (660) 626-0698
Additional Practice Location
1720 Prospect Dr
Macon, Missouri 63552-2615
Phone: (660) 395-0111
Fax: (660) 395-0113
Additional Practice Location
101 Adams St
Jefferson City, Missouri 65101-3058
Phone: (573) 556-6589
Fax: (573) 556-6294
Additional Practice Location
614 W Lockling St
Brookfield, Missouri 64628-2003
Phone: (660) 258-4188
Fax: (660) 258-5632
Additional Practice Location
3029 County Road 1325
Moberly, Missouri 65270-5152
Phone: (660) 263-1113
Fax: (660) 263-4572
Additional Practice Location
4600 Mcmasters Ave
Hannibal, Missouri 63401-2244
Phone: (573) 603-1460
Fax: (573) 603-1462
Record Information
- Enumeration Date
- June 9, 2022
- Provider's NPPES Record Last Updated
- July 29, 2026
- Certification Date
- July 29, 2026
- NPISignal NPPES Dataset
- August 2026
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