National Provider Identifier Database

CAROL R LUCKEY, NP – NPI #1003858150
Primary Care

Contact Information

CAROL R LUCKEY, NP
120 E CHURCH ST
LEXINGTON, TN  38351
Phone: 731-968-0146
Fax: 731-968-9398
Website:
Specialty Taxonomy Code
* Primary Care 363LP2300X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for CAROL R LUCKEY

NPI Number 1003858150
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/12/2006
Last updated 10/12/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • TN License #: APN0000005691
  • TN License #: APN5691
  • TN Medicaid: 3900686
  • TN Medicaid: 39006861
  • Other: 4157526 BLUE CROSS BLUE SHIELD TN
  • TN Other: 4083540 BLUE CROSS BLUE SHIELD TN
  • TN Other: 0000000031363 MEMPHIS MANAGED CARE (TLC
  • TN Other: 4083540 TN CARE SELECT
  • TN Other: 156102 UNISON
Hospital affiliation n/a

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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