Individual
JOLIE ALEXIS PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-5000
Mailing address
253 CHUBBTOWN RD, CEDARTOWN, GA 30125-4330
(678) 988-6179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN268423
GA
Other
Enumeration date
07/29/2024
Last updated
09/10/2024
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