Individual
AMY LEIGH PUCKETT-LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2133 ROCKFORD ST STE 1400, MOUNT AIRY, NC 27030-6594
(336) 719-0398
(336) 719-0494
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 719-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008637
NC
363LF0000X
Family Nurse Practitioner
0024168630
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024168630
VA LICENSE
VA
Enumeration date
02/01/2010
Last updated
08/10/2023
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