Organization · Type 2 NPI

Puckett Family Medical Clinic

Family Nurse Practitioner · Brandon, MS

NPI number 1689285249 Active

Practice location

6455 Highway 18
Brandon, MS 39042-7536

Call (601) 824-9490 Map

Fax (601) 824-5855

Mailing address

PO Box 580
Puckett, MS 39151-0580

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1689285249

Puckett Family Medical Clinic's National Provider Identifier is 1689285249, issued on Aug 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brandon, MS. The record was last updated on Aug 16, 2020.