KEISHA PRUITT LUCKEY

JACKSON, MS
NPI1548626575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: MS  R863378)
Enumeration Date2016-01-06
Last Update Date2016-01-06
Business Address
-- KEISHA PRUITT LUCKEY RN
2500 N STATE ST 2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-984-5682
Mailing Address
-- KEISHA PRUITT LUCKEY RN
2254 WOODLAND PL
FLORENCE, MS 39073-9771
Phone number: 601-421-9291