KEIANNA RENAE LUCKETT

JACKSON, MS
NPI1992480859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  906053)
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
Mrs. KEIANNA RENAE LUCKETT DNP, AGACNP-BC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
Mrs. KEIANNA RENAE LUCKETT DNP, AGACNP-BC
112 BRIERFIELD DR
MADISON, MS 39110-7768
Phone number: 601-213-6767
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