Individual provider · Type 1 NPI

Tiffany Nicole Puckett, APRN

Family Nurse Practitioner · Columbia, SC

NPI number 1073073896 Active

Practice location

111 Doctor Cir
Columbia, SC 29203-6502

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	22704 (SC)
Family Nurse Practitioner Primary	363LF0000X	22704 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1073073896

Tiffany Nicole Puckett, APRN's National Provider Identifier is 1073073896, issued on Mar 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Nov 8, 2022.