Puckett Family Medical Clinic
NPI #1689285249 in Brandon, Mississippi
Provider Information
- NPI Number
- 1689285249
- Entity Type
- Organization
- Organization Name
- Puckett Family Medical Clinic
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 16, 2020
- Last Updated
- Aug 16, 2020
Practice Location
- Address
- 6455 HIGHWAY 18
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-7536
- Phone
- (601) 824-9490
Authorized Official
- Name
- ASHELY M SHIVERS, NP
- Title
- OWNER
- Phone
- (601) 824-9490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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