Individual
TIFFANY PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1120 TARBY RD, POTEAU, OK 74953-5504
(800) 640-9741
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(800) 640-9741
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
226129
OK
Other
Enumeration date
11/24/2025
Last updated
04/30/2026
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