Individual
STEPHANIE NICOLE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 CIC BLVD, WEST UNION, OH 45693-8024
(937) 544-8989
(937) 544-5659
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0040293
OH
Other
Enumeration date
10/11/2025
Last updated
12/12/2025
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