Mrs. Ann Elizabeth Fowler Lutken is a Jackson, Mississippi based nurse practitioner with 15 years of experience in . She completed her graduation in 2010. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Ann Elizabeth Fowler Lutken is 875444 for Family in Mississippi. Her current practice location is 971 Lakeland Dr Ste 1250, Jackson. Patients can reach her at 601-200-5955 or can fax her at 601-200-5943. Mrs. Ann Elizabeth Fowler Lutken is CFNP and her NPI number (Unique professional ID assigned by NPPES) is 1811213853. Mrs. Ann Elizabeth Fowler Lutken has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Ann Elizabeth Fowler Lutken speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mrs. Ann Elizabeth Fowler Lutken
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
CFNP
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2010
Accepts Medicare Assignment:
Yes
Practice Address:
971 Lakeland Dr Ste 1250, Jackson, Mississippi, 39216-4609
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0042478935
Enrollment ID:
I20120223000451
NPI Number:
1811213853
NPI Enumeration Date:
15 Apr, 2010
NPI Last Update On:
11 Feb, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Ann Elizabeth Fowler Lutken are as mentioned below.
License Number
Specialization
State
Status
875444
Family
Mississippi
Primary
R875444
Registered Nurse
Mississippi
Secondary
875444
Nurse Practitioner
Mississippi
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(250048)
Jackson, MS
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Ann Elizabeth Fowler Lutken is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St. Dominic Medical Associates Llc (0446303168)
118
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Ann Elizabeth Fowler Lutken such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
09702355
Medicaid
Mississippi
P01668935
Other
Mississippi
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Ann Elizabeth Fowler Lutken 5959 S Sherwood Forest Blvd, Baton Rouge, Louisiana
Zip:
70816-6038
Phone Number:
601-200-2990
Fax Number:
225-765-9196
Patients can reach Mrs. Ann Elizabeth Fowler Lutken at 971 Lakeland Dr Ste 1250, Jackson, Mississippi or can call to book an appointment on 601-200-5955.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.