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Krista Kay Puckett, APN
Family Nurse Practitioner in Glenview, Illinois
NPI 1104318666

Krista Kay Puckett is a Family Nurse Practitioner based in Villa Park, IL and is specialized in Family. Krista Kay Puckett practices in Glenview, IL and has the professional credentials of APN. The NPI Number for Krista Kay Puckett is 1104318666 and holds a License No. 209.017748 (Illinois).

The current practice location address for Krista Kay Puckett is 2701 Patriot Blvd, Glenview, IL and can be reached out via phone at 847-475-2273.

Location: 2701 Patriot Blvd, Glenview, IL, 60181-2868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104318666
Provider Name
Krista Kay Puckett
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2701 Patriot Blvd, Glenview, IL, 60181-2868
Phone Number
847-475-2273
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2701 Patriot Blvd
City
Glenview
State
Illinois
Zip
60026-8039
Phone Number
847-475-2273
Fax Number
person
Provider Business Mailing Address Details
Address
2701 Patriot Blvd
City
Glenview
State
Illinois
Zip
60026-8039
Phone Number
847-475-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.017748 (Illinois)
Definition
Definition to come...
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