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Contact Information

CASSANDRA E LUCKETT
5525 CONCORD DR NE
JACKSON, MS39211-4237
 Phone: 205-373-9710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
 

Home Health Aide

374U00000X
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for CASSANDRA E LUCKETT · (Female)

NPI # 1467126060
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2021
Last updated 08/06/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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