Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy John Carlock, RN

Individual provider Registered Nurse · NPI 1174240915

Timothy John Carlock, RN is a Registered Nurse in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

833 Louwen Dr
Saint Louis, MO 63124-1803
Phone: (503) 756-7785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2012002876 (MO)

Record details

NPI number1174240915
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 23, 2022
Mailing address833 Louwen Dr, Saint Louis, MO 63124-1803

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