Individual
JENNIFER NEICOLE PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 422-0213
(731) 425-5783
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36585
TN
Other
Enumeration date
06/05/2024
Last updated
07/16/2024
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