Individual
RUBY L LUCROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
321 HIGHWAY 13 S, MORTON, MS 39117-3353
(601) 732-8612
(601) 732-1957
Mailing address
PO BOX 2065, MERIDIAN, MS 39302-2065
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R543225
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121109
—
MS
Enumeration date
08/20/2006
Last updated
11/09/2013
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