Individual provider · Type 1 NPI
Thomas Edwin Puckett Jr., N.P.
Nurse Practitioner · Indianapolis, IN
Practice location
3834 S Emerson Ave, Bldg C Ste 100
Indianapolis, IN 46203
Fax (888) 366-7577
Mailing address
PO Box 3299
Carson City, NV 89702-3299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71005644A (IN) |
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 1346626876
Thomas Edwin Puckett Jr., N.P.'s National Provider Identifier is 1346626876, issued on Aug 6, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 2, 2018.