person
Katherine Puckett Ginn, NP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1114403268

Katherine Puckett Ginn is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Katherine Puckett Ginn practices in Jackson, MS and has the professional credentials of NP. The NPI Number for Katherine Puckett Ginn is 1114403268 and holds a License No. 902808 (Mississippi).

The current practice location address for Katherine Puckett Ginn is 969 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-6897 and via fax at 601-200-5899.

Location: 969 Lakeland Dr, Jackson, MS, 39225-3457
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Provider Profile Details
NPI Number
1114403268
Provider Name
Katherine Puckett Ginn
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
969 Lakeland Dr, Jackson, MS, 39225-3457
Phone Number
601-200-6897
Fax Number
601-200-5899
Provider Enumeration Date
07/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
688710 01 MS MEDICARE
08220070 05 MS
P02359034 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
601-200-6897
Fax Number
601-200-5899
person
Provider Business Mailing Address Details
Address
969 Lakeland Dr
City
State
Zip
39216-4606
Phone Number
601-200-6897
Fax Number
601-200-5899
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
902808 (Mississippi)
Definition
Definition to come...
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