Individual
MICHELE L PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2011 GALLATIN ST SW, HUNTSVILLE, AL 35801-4510
(256) 382-1603
(256) 382-1607
Mailing address
2011 GALLATIN ST SW, HUNTSVILLE, AL 35801-4510
(256) 382-1603
(256) 382-1607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-058470
AL
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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