Individual
JOANN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9030 FOWLER CRK, UNION, KY 41091-9749
(859) 609-1268
Mailing address
9030 FOWLER CRK, UNION, KY 41091-9749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1118647
KY
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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