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Stephanie Puckett

Student in an Organized Health Care Education/Training Program in Lewisburg, WV. Individual provider (NPI-1).

NPI number1124938535
StatusActive
Last updated in NPPESSep 9, 2026

Details

NPI
1124938535
Entity type
Individual (NPI-1)
Name
Stephanie Puckett
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2026
Certification date
Sep 9, 2026
Last updated
Sep 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1464 Jefferson St N
Lewisburg, WV 24901-1380

Phone 304-645-3220

Mailing address

1464 Jefferson St N
Lewisburg, WV 24901-1380

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Other Student in an Organized Health Care Education/Training Program providers in Lewisburg, WV

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