IndividualActive
Gilbert Luckel, AG-ACNP
NPI 1275934580 · Acute Care Nurse Practitioner · Hattiesburg, MS
Provider details
- NPI number
- 1275934580
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Male
- Sole proprietor
- No
- License
- R884250 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 Courtenay Cir
Hattiesburg, MS 39402-3176
Phone: (601) 579-5180
Fax: (601) 579-5374
Approximate (ZIP-level) locationGet directions
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Registry dates
- Enumerated
- 2014-09-06
- Last updated
- 2020-07-24
- Certified
- 2020-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.