Luckett, Keianna Renae

Luckett, Keianna Renae is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Luckett, Keianna Renae can be contacted via phone (601) 984-1000.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 906053 Mississippi

Profile Details

NPI number 1992480859
LBN Legal business name Luckett, Keianna Renae
Credentials DNP, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2023
Last updated Jun 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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