Tara Puckett, NP-C
NPI #1942695929 in Coldwater, Mississippi
Provider Information
- NPI Number
- 1942695929
- Entity Type
- Individual
- Name
- Tara Puckett, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP-C
- Enumeration Date
- Apr 6, 2015
- Last Updated
- Dec 1, 2021
Practice Location
- Address
- 423 CENTRAL AVE
- City
- Coldwater
- State
- Mississippi
- ZIP Code
- 38618-3915
- Phone
- (662) 622-7011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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