Puckett Family Medical Clinic
Puckett Family Medical Clinic provides Family Nurse Practitioner services in Brandon, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6455 Highway 18Brandon, MS 39042-7536
Phone: (601) 824-9490
Fax: (601) 824-5855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|
Record details
| NPI number | 1689285249 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ashely Shivers — Owner · (601) 824-9490 |
| NPI enumerated | August 16, 2020 |
| Last updated in NPPES | August 16, 2020 |
| Certification date | August 16, 2020 |
| Mailing address | Po Box 580, Puckett, MS 39151-0580 |
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