Individual
JUWONNA ROCHELL PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 GATEWOOD DR, WHITEHOUSE, TX 75791-3314
(903) 707-6972
Mailing address
755 S BECKHAM AVE, TYLER, TX 75701-1903
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223504
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223504
LVN
TX
Enumeration date
02/16/2018
Last updated
02/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us