Individual
MRS. LUCY RENA' MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1038 NORTHWEST AVE, MCCOMB, MS 39648-2116
(601) 730-7012
Mailing address
106 POINTE DR, SUMMIT, MS 39666-5672
(601) 551-7499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902573
MS
363L00000X
Nurse Practitioner
AP10101
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08520383
—
MS
Enumeration date
07/12/2018
Last updated
01/28/2026
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