Justin Puckett
Physician Assistant in Everett, Massachusetts
1417447475- Practice location
- 103 Garland St, Everett, MA 02149-5066
- Phone
- 617-381-7133
- Fax
- —
- Last updated
- August 21, 2019
Justin Puckett is a Physician Assistant based in Everett, MA. Justin Puckett practices in Everett, MA. The NPI Number for Justin Puckett is 1417447475. The current practice location address for Justin Puckett is 103 Garland St, Everett, MA 02149-5066 and can be reached out via phone at 617-381-7133.
Provider Profile Details
- NPI Number
- 1417447475
- Provider Name
- Justin Puckett
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 103 Garland St, Everett, MA 02149-5066
- Phone Number
- 617-381-7133
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 15, 2018
- Last Update Date
- August 21, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Garland St
Everett, MA 02149-5066 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-5066
- Phone Number
- 617-381-7133
Provider Business Mailing Address Details
- Address
- 3163 Valley Ln
Saint Joseph, MI 49085-3509 - City
- Saint Joseph
- State
- MI
- Zip
- 49085-3509
- Phone Number
- 269-930-2482
License Information
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Everett, MA
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- Janet E Guilfoyle, PA-CPhysician Assistant · NPI 1588682306
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Frequently Asked Questions
What is the NPI number of Justin Puckett?
The NPI number of Justin Puckett is 1417447475. It was assigned on May 15, 2018 and is currently active in the NPPES registry.
What is the specialty of Justin Puckett?
Justin Puckett is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Justin Puckett practice?
The practice location is 103 Garland St, Everett, MA 02149-5066. The office can be reached at 617-381-7133 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417447475 directly on the NPPES registry website.