LUCRETIA ROSS CRAFT RN, FNP - NPI 1114950110 - Nurse Practitioner in Jackson, MS

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Lucretia Ross Craft Rn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCRETIA ROSS CRAFT RN, FNP (NPI 1114950110) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R134660) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1114950110

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLUCRETIA ROSS CRAFTCredential: RN, FNP

Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116

Mailing Address110 Easthaven CirBrandon, MS 39042-2806 · (601) 825-7905

Phone(601) 362-4471

Fax(601) 364-1588

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114950110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R134660

1500 E WOODROW WILSON AVE, Jackson, MS 39216

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Other Names 1

Other Name (5)Lu Craft Rn, Fnp

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES HERMAN WHELAN RPH

Pharmacist

1500 E WOODROW WILSON AVE, PHARMACY SERVICE (119)
JACKSON, MS 39216

Hinds County (601) 364-1555

DR. LEAH MICHELLE RUSSELL PHARM.D.

Pharmacist (Pharmacotherapy)