Individual
CANDICE PUCKETT KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
NEWSOME FAMILY PRACTICE, 304 MOUNTAINVIEW ROAD, KING, NC 27021
(336) 716-2255
(336) 983-3016
Mailing address
5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713-7812
(919) 457-1517
(919) 363-7697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000668
—
NC
Enumeration date
08/16/2005
Last updated
11/24/2021
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