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
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | R863378 (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.