Lutken, Ann Elizabeth

Lutken, Ann Elizabeth is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 1250 , Jackson MS 39216-4609. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lutken, Ann Elizabeth can be contacted via phone (601) 200-5955.

Contact Information

Primary practice address
971 Lakeland Dr Ste 1250 Jackson MS 39216-4609
Phone: (601) 200-5955
Fax: (601) 200-5943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X R875444 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R875444 Mississippi

Profile Details

NPI number 1811213853
LBN Legal business name Lutken, Ann Elizabeth
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated Feb 14th, 2024 - about 2 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 1811213853 NPPES
Mississippi Other P01668935 RAILROAD MEDICARE
Mississippi MEDICAID 09702355 RAILROAD MEDICARE

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