Mikell, Lucy Rena'

Mikell, Lucy Rena' is an individual health care provider with primary practice located at 804 Robb Street , Summit MS 39666. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mikell, Lucy Rena' can be contacted via phone (601) 276-7665.

Contact Information

Primary practice address
804 Robb Street Summit MS 39666
Phone: (601) 276-7665
Fax: (601) 276-7556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 902573 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP10101 Louisiana

Profile Details

NPI number 1710463856
LBN Legal business name Mikell, Lucy Rena'
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2018
Last updated May 20th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710463856 NPPES
Mississippi MEDICAID 08520383

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