Madison Bennett Stuckey

Nurse Practitioner · Grenada, MS

Individual Active NPI

NPI number 1801664222

Practice location

1240 Fairground Rd
Grenada, MS 38901-4516
Phone
(601) 624-1866
Fax
(601) 364-2670

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NPI record

NPI
1801664222
Entity type
Individual (Type 1)
Enumeration date
December 14, 2023
Last updated
March 25, 2026
Certified
March 25, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 906398 MS

Mailing address

3156 Lawson St
Jackson, MS 39213-5754
Phone
(601) 624-1866
Fax
(601) 364-2670

About Madison Stuckey

Madison Bennett Stuckey is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1240 Fairground Rd, Grenada, MS 38901-4516. The NPI number 1801664222 was assigned on December 14, 2023 and the record was last updated on March 25, 2026.

Madison Stuckey lists a license in the registry: #906398 (MS) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Madison Bennett Stuckey?

The NPI number is 1801664222.

What is the phone number of Madison Stuckey?

The phone number listed for the practice location is (601) 624-1866.

Where is Madison Stuckey located?

1240 Fairground Rd, Grenada, MS 38901-4516.

What is the taxonomy code for Madison Stuckey?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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