KEISHA PRUITT LUCKEY RN
NPI 1548626575
Registered Nurse - Diabetes Educator in Jackson, MS

Active since January 06, 2016
2500 N STATE ST, 2500 NORTH STATE STREET, JACKSON, MS 39216(601) 984-5682(601) 815-3672 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Keisha Pruitt Luckey Rn NPPES

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

KEISHA PRUITT LUCKEY RN (NPI 1548626575) is an individual diabetes educator provider in Jackson, Mississippi, licensed in Mississippi (R863378) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1548626575
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameKEISHA PRUITT LUCKEYCredential: RN
Location Address2500 N STATE ST, 2500 NORTH STATE STREETJackson, MS 39216-4500
Mailing Address2254 Woodland PlFlorence, MS 39073-9771 · (601) 421-9291
Fax(601) 815-3672
Sole ProprietorYes
Enumeration DateJanuary 6, 2016
✔ NPI 1548626575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in MS · R863378
2500 N STATE ST, Jackson, MS 39216

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Luckey's NPI number?

The NPI number for Keisha Luckey is 1548626575. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Keisha Luckey located?

Keisha Luckey practices at 2500 N State St 2500 North State Street, Jackson, MS 39216. The listed phone number is (601) 984-5682.

What is Keisha Luckey's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Keisha Luckey was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.