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Individual
LAUREN JANNETTY PUCKETT
Active
Individual
LAUREN JANNETTY PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
231031
TN
363LN0000X
Neonatal Nurse Practitioner
Primary
34941
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
34941
TN
Other
Enumeration date
09/19/2023
Last updated
12/01/2023
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