Individual provider · Type 1 NPI

Gilbert Lynn Luckel Jr., AG-ACNP

Acute Care Nurse Practitioner · Hattiesburg, MS

NPI number 1275934580 Active

Practice location

101 Courtenay Cir
Hattiesburg, MS 39402-3176

Call (601) 579-5180 Map

Fax (601) 579-5374

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR884250 (MS)
Acute Care Nurse Practitioner Primary 363LA2100XR884250 (MS)

Acute Care Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1275934580

Gilbert Lynn Luckel Jr., AG-ACNP's National Provider Identifier is 1275934580, issued on Sep 6, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 24, 2020.