KAREN REECE PUCKETT MSN NP-C NPI 1164695227

NPI Information

NPI: 1164695227
Provider Name: KAREN REECE PUCKETT, MSN, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1550 N BRIDGE ST
ELKIN, NC
ZIP 28621
Phone: (336) 258-2031
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Karen Reece Puckett, MSN, NP-C is a family nurse practitioner in Elkin, NC. Karen Reece Puckett, MSN, NP-C NPI is 1164695227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1550 N BRIDGE ST
ELKIN, NC
ZIP 28621-202
Phone: (336) 258-2031
Fax: (336) 258-2037

The enumeration date for this NPI number is 4/10/2008 and was last updated on 11/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024168075	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	102692	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	454639427	OTHER	NORTH CAROLINA	TAX ID
2	B667	OTHER	VIRGINIA	GROUP PTAN
3	1164695227	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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