Individual provider · Type 1 NPI

Madison Bennett Stuckey

Nurse Practitioner · Grenada, MS

NPI number 1801664222 Active

Practice location

1240 Fairground Rd
Grenada, MS 38901-4516

Call (601) 624-1866 Map

Fax (601) 364-2670

Mailing address

3156 Lawson St
Jackson, MS 39213-5754

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X906398 (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 1801664222

Madison Bennett Stuckey's National Provider Identifier is 1801664222, issued on Dec 14, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grenada, MS. The record was last updated on Mar 25, 2026.