Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCKSLEY JEAN, MD
Active Sole ProprietorLUCKSLEY JEAN, MD is a Family Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1518400118 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1518400118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2016 (9.697053655569 yrs)
- Last Updated
- Aug 25, 2020
- License
-
ME145656 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6841 BLANDING BLVDJACKSONVILLE, FL, 322444418Browse FL providers · Browse ZIP 32244
- Phone
- 9048622175
- Fax
- 9042451940
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| VICTORIA HOFF-JOINVILLE | D.O. | 1225030539 |
| DR. LOUIS JOHN LARMOYEUX JR. | DO | 1831193861 |
| DR. ELIZABETH FLETCHER TRAINER | MD | 1043214695 |
| DR. JOHN EZRA TRAINER III | M.D. | 1699770990 |
| HUI TANG | M.D. | 1649275488 |
| DR. HEBER J ROSA | M.D. | 1952306607 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.