Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucedale Intermediate School

Organization Student in an Organized Health Care Education/Training Program · NPI 1790116838

Lucedale Intermediate School is a Student in an Organized Health Care Education/Training Program in Lucedale, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013

Practice location Address checks out

159 Mable St
Lucedale, MS 39452-5821
Phone: (601) 947-6065
Fax: (601) 947-6127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence R872149 (MS)

Record details

NPI number1790116838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Sumrall — School Nurse · (601) 947-6993
NPI enumeratedNovember 27, 2013
Last updated in NPPESNovember 27, 2013
Mailing address159 Mable St, Lucedale, MS 39452-5821

Other providers in Lucedale