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Carol R Luckey, NP
Nurse Practitioner in Lexington, Tennessee
NPI 1003858150

Carol R Luckey is a Nurse Practitioner based in Jackson, TN. Carol R Luckey practices in Lexington, TN and has the professional credentials of NP. The NPI Number for Carol R Luckey is 1003858150 and holds a License No. APN0000005691 (Tennessee).

The current practice location address for Carol R Luckey is 120 E Church St, Lexington, TN and can be reached out via phone at 731-968-0146 and via fax at 731-968-9398.

Location: 120 E Church St, Lexington, TN, 38308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003858150
Provider Name
Carol R Luckey
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
120 E Church St, Lexington, TN, 38308
Phone Number
731-968-0146
Fax Number
731-968-9398
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000000031363 01 TN MEMPHIS MANAGED CARE (TLC
156102 01 TN UNISON
39006861 05 TN
4157526 01 BLUE CROSS BLUE SHIELD TN
3900686 05 TN
4083540 01 TN TN CARE SELECT
4083540 01 TN BLUE CROSS BLUE SHIELD TN
institution
Provider Business Practice Location Address Details
Address
120 E Church St
City
Lexington
State
Tennessee
Zip
38351
Phone Number
731-968-0146
Fax Number
731-968-9398
person
Provider Business Mailing Address Details
Address
120 E Church St
City
Lexington
State
Tennessee
Zip
38351
Phone Number
731-968-0146
Fax Number
731-968-9398
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APN5691 (Tennessee)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
APN0000005691 (Tennessee)
Definition
Definition to come...
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