Jackson Luckey, Tamiqua

Jackson Luckey, Tamiqua is an individual health care provider with primary practice located at 8406 Six Forks Rd Ste 104 , Raleigh NC 27615-3075. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson Luckey, Tamiqua can be contacted via phone (919) 642-4857.

Contact Information

Primary practice address
8406 Six Forks Rd Ste 104 Raleigh NC 27615-3075
Phone: (919) 642-4857
Fax: (855) 484-7483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5006558 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5006558 North Carolina

Profile Details

NPI number 1750717179
LBN Legal business name Jackson Luckey, Tamiqua
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Dec 2nd, 2023 - 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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