Individual provider · Type 1 NPI
Antonette Lucas, NP
Nurse Practitioner · Jackson, MS
Practice location
136 E Ash St
Jackson, MS 39202-2217
Mailing address
2500 N State St
Jackson, MS 39216-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R860519 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1699735803
Antonette Lucas, NP's National Provider Identifier is 1699735803, issued on Mar 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Sep 29, 2026.