Individual
LUCRETIA ROSS CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1588
Mailing address
110 EASTHAVEN CIR, BRANDON, MS 39042-2806
(601) 825-7905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R134660
MS
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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