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Lana Anne Puckett
Home Health Registered Nurse in Jefferson, Texas
NPI 1720560949

Lana Anne Puckett is a Home Health Registered Nurse based in Jefferson, TX and is specialized in Home Health. Lana Anne Puckett practices in Jefferson, TX. The NPI Number for Lana Anne Puckett is 1720560949 and holds a License No. 719809 (Texas).

The current practice location address for Lana Anne Puckett is 120 N Walnut St, Jefferson, TX and can be reached out via phone at 903-665-6131.

Location: 120 N Walnut St, Jefferson, TX, 75657-0901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720560949
Provider Name
Lana Anne Puckett
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 N Walnut St, Jefferson, TX, 75657-0901
Phone Number
903-665-6131
Fax Number
Provider Enumeration Date
09/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 N Walnut St
City
Jefferson
State
Texas
Zip
75657-1934
Phone Number
903-665-6131
Fax Number
person
Provider Business Mailing Address Details
Address
120 N Walnut St
City
Jefferson
State
Texas
Zip
75657-1934
Phone Number
903-665-6131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
719809 (Texas)
Definition
Definition to come...
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