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Individual

MS. TIFFANY PUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 580-4099
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 428-1131

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95141247
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035707
CA

Other

Enumeration date
06/20/2018
Last updated
08/23/2025
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