Jolie Alexis Puckett, NP
Nurse Practitioner, Acute Care in Rome, GA. Individual provider (NPI-1).
NPI number1386473403
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1386473403
- Entity type
- Individual (NPI-1)
- Name
- Jolie Alexis Puckett
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2024
- Certification date
- Aug 16, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | RN268423 | GA | Yes |
Practice location
304 Turner McCall Blvd SwRome, GA 30165-5621
Phone 706-509-5000
Mailing address
253 Chubbtown RdCedartown, GA 30125-4330
Phone 678-988-6179
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