DONNA LUCKETT

MEMPHIS, TN
NPI1609332840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  25840)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MS  R865676)
Enumeration Date2019-02-12
Last Update Date2024-06-25
Business Address
DONNA LUCKETT FNP
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119-2673
Phone number: 731-394-1145
Mailing Address
DONNA LUCKETT FNP
542 BUCK CREEK CV
HERNANDO, MS 38632-8090
Phone number: