Individual
MRS. ANN ELIZABETH LUTKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
971 LAKELAND DR STE 1250, JACKSON, MS 39216-4609
(601) 200-5955
(601) 200-5943
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-2990
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R875444
MS
363L00000X
Nurse Practitioner
875444
MS
363LF0000X
Family Nurse Practitioner
Primary
875444
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09702355
—
MS
01
—
P01668935
RAILROAD MEDICARE
MS
Enumeration date
04/15/2010
Last updated
10/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us