Individual
JACQUELINE A LUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8725 N WICKHAM RD, MELBOURNE, FL 32940-2239
(321) 268-4200
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 268-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9299133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002580500
—
FL
01
—
9299133
FL LICENSE
FL
01
—
EA749Y
MEDICARE HF
FL
Enumeration date
08/10/2010
Last updated
06/04/2025
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