Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEISHA PRUITT LUCKEY, RN
Active Sole ProprietorKEISHA PRUITT LUCKEY, RN is a Diabetes Educator Nurse healthcare provider located in JACKSON, Mississippi. NPI 1548626575 is currently active in the NPPES registry. Verify at CMS.
Diabetes Educator Nurse · JACKSON, MS
Registration Details
- NPI Number
- 1548626575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2016 (10.567637320954 yrs)
- Last Updated
- Jan 6, 2016
- License
-
R863378 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 N STATE ST2500 NORTH STATE STREETJACKSON, MS, 392164500Browse MS providers · Browse ZIP 39216
- Phone
- 6019845682
- Fax
- 6018153672
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
Other Diabetes Educator Nurse Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| JUDITH M CHAMPION | RN, CDE | 1477872281 |
| TONI L. COOPER | RN, MSN, CDE | 1477872273 |
| MARGRETT R. DAVIS | CHES | 1699054403 |
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.