Individual provider · Type 1 NPI

Keisha Pruitt Luckey, RN

Diabetes Educator Registered Nurse · Jackson, MS

NPI number 1548626575 Active

Practice location

2500 N State St, 2500 North State Street
Jackson, MS 39216-4500

Fax (601) 815-3672

Mailing address

2254 Woodland Pl
Florence, MS 39073-9771

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400XR863378 (MS)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1548626575

Keisha Pruitt Luckey, RN's National Provider Identifier is 1548626575, issued on Jan 6, 2016. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Jackson, MS. The record was last updated on Jan 6, 2016.