person
Mrs. Ann Elizabeth Fowler Lutken, CFNP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1811213853

Ann Elizabeth Fowler Lutken is a Family Nurse Practitioner based in Baton Rouge, MS and is specialized in Family. Ann Elizabeth Fowler Lutken practices in Jackson, MS and has the professional credentials of CFNP. The NPI Number for Ann Elizabeth Fowler Lutken is 1811213853 and holds a License No. R875444 (Mississippi).

The current practice location address for Ann Elizabeth Fowler Lutken is 971 Lakeland Dr Ste 1250, Jackson, MS and can be reached out via phone at 601-200-5955 and via fax at 601-200-5943.

Location: 971 Lakeland Dr Ste 1250, Jackson, MS, 70816-6038
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Provider Profile Details
NPI Number
1811213853
Provider Name
Ann Elizabeth Fowler Lutken
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
971 Lakeland Dr Ste 1250, Jackson, MS, 70816-6038
Phone Number
601-200-5955
Fax Number
601-200-5943
Provider Enumeration Date
04/15/2010
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01668935 01 MS RAILROAD MEDICARE
09702355 05 MS
institution
Provider Business Practice Location Address Details
Address
971 Lakeland Dr Ste 1250
City
State
Zip
39216-4609
Phone Number
601-200-5955
Fax Number
601-200-5943
person
Provider Business Mailing Address Details
Address
971 Lakeland Dr Ste 1250
City
State
Zip
39216-4609
Phone Number
601-200-5955
Fax Number
601-200-5943
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
875444 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R875444 (Mississippi)
Definition
Definition to come...
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