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

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

The current practice location address for Ann Elizabeth 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. You can also correspond with Ann Elizabeth Lutken through the mailing address at 9025 DRY GROVE RD, RAYMOND, MS - 39154-9713 (mailing address contact number: 601-214-5367).

Location: 971 Lakeland Dr Ste 1250, Jackson, MS, 39154-9713
person
Provider Profile Details
NPI Number
1811213853
Provider Name
Ann Elizabeth Lutken
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
971 Lakeland Dr Ste 1250, Jackson, MS, 39154-9713
Phone Number
601-200-5955
Fax Number
601-200-5943
Provider Enumeration Date
04/15/2010
Last Update Date
03/12/2024
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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.
R875444 (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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