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

Tonya R. Jackson-Lockett, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1346918968

Tonya R. Jackson-Lockett, NURSEPRACTITIONER is a Nurse Practitioner in Princeton, West Virginia. Qualified in 2020, 6 years ago. Practices with Southern Highlands Community Mental Health Center Inc, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2021
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Practice location Address checks out

200 12th Street Ext
Princeton, WV 24740-2329
Phone: (304) 425-9541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F04210702 (WV)

Record details

NPI number1346918968
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Highlands Community Mental Health Center Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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