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Individual
JAMES ADDISON PUCKETT
Active
Individual
JAMES ADDISON PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNC-NIC, MSN, NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
813526
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP138325
TX
Other
Enumeration date
06/30/2018
Last updated
01/08/2021
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