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Sarah Michelle Puckett, FNP
Family Nurse Practitioner in Edwardsville, Illinois
NPI 1538873633

Sarah Michelle Puckett is a Family Nurse Practitioner based in Edwardsville, IL and is specialized in Family. Sarah Michelle Puckett practices in Edwardsville, IL and has the professional credentials of FNP. The NPI Number for Sarah Michelle Puckett is 1538873633 and holds a License No. (Illinois).

The current practice location address for Sarah Michelle Puckett is 1 Hairpin Dr, Edwardsville, IL and can be reached out via phone at 618-650-3956.

Location: 1 Hairpin Dr, Edwardsville, IL, 62026-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538873633
Provider Name
Sarah Michelle Puckett
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1 Hairpin Dr, Edwardsville, IL, 62026-0001
Phone Number
618-650-3956
Fax Number
Provider Enumeration Date
01/12/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1 Hairpin Dr
City
Edwardsville
State
Illinois
Zip
62026-0001
Phone Number
618-650-3956
Fax Number
person
Provider Business Mailing Address Details
Address
1 Hairpin Dr
City
Edwardsville
State
Illinois
Zip
62026-0001
Phone Number
618-650-3956
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209028213 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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