Individual
MRS. REBECCA SHERRILL LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1872 BELTLINE ROAD SW, DECATUR, AL 35603
(615) 973-6672
(256) 973-6673
Mailing address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(569) 736-6722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23525
TN
363LA2100X
Acute Care Nurse Practitioner
23525
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
23525
TN
Other
Enumeration date
11/15/2017
Last updated
02/26/2024
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