JEFFREY LUCKETT

PHOENIX, AZ
NPI1336519552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  AP8054)
Enumeration Date2015-09-30
Last Update Date2023-05-05
Business Address
JEFFREY LUCKETT
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020-2463
Phone number: 480-999-4954
Mailing Address
JEFFREY LUCKETT
9200 N CENTRAL AVE STE 2
PHOENIX, AZ 85020-2463
Phone number: 480-999-4954
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