Individual
JESSICA LYNN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
711 S HEALTH PKWY STE 1, THREE RIVERS, MI 49093-8354
(269) 273-8557
(269) 279-6461
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101015674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285856245
—
MI
Enumeration date
05/02/2007
Last updated
04/08/2026
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