Individual provider · Type 1 NPI

Kim Puckett, FNP

Nurse Practitioner · Rockingham, NC

NPI number 1154856466 Active

Practice location

120 County Home Rd
Rockingham, NC 28379-9118

Fax (910) 997-3707

Mailing address

PO Box 828
Hamlet, NC 28345-0828

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5009466 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154856466

Kim Puckett, FNP's National Provider Identifier is 1154856466, issued on Apr 24, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockingham, NC. The record was last updated on Oct 28, 2025.