Luckey, Keisha Pruitt
Luckey, Keisha Pruitt is an sole proprietor health care provider with primary practice located at 2500 N State St 2500 North State Street, Jackson MS 39216-4500. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Luckey, Keisha Pruitt can be contacted via phone (601) 984-5682.Contact Information
Primary practice address
2500 N State St 2500 North State Street
Jackson MS 39216-4500
Phone: (601) 984-5682
Fax: (601) 815-3672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | R863378 | Mississippi |
Profile Details
| NPI number | 1548626575 |
|---|---|
| LBN Legal business name | Luckey, Keisha Pruitt |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2016 |
| Last updated | Jan 6th, 2016 - about 8 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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