Individual
DONNA LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1175 VICKERY LN STE 101, CORDOVA, TN 38016-0682
(662) 408-6995
(901) 425-9884
Mailing address
542 BUCK CREEK CV, HERNANDO, MS 38632-8090
(662) 408-6995
(901) 425-9884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25840
TN
Other
Enumeration date
02/12/2019
Last updated
08/12/2025
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