Individual provider · Type 1 NPI
Carol R. Luckey, NP
Primary Care Nurse Practitioner · Lexington, TN
NPI number
1003858150
Active
Practice location
120 E Church St
Lexington, TN 38351
Fax (731) 968-9398
Mailing address
P.o Box 11567
Jackson, TN 38308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | APN0000005691 (TN) |
| Nurse Practitioner | 363L00000X | APN5691 (TN) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1003858150
Carol R. Luckey, NP's National Provider Identifier is 1003858150, issued on Jun 12, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lexington, TN. The record was last updated on Oct 12, 2011.