Puckett, Karen Jane

Puckett, Karen Jane is an sole proprietor health care provider with primary practice located at 1041 N Highland Ave , Murfreesboro TN 37130-2450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Puckett, Karen Jane can be contacted via phone (615) 617-3499.

Contact Information

Primary practice address
1041 N Highland Ave Murfreesboro TN 37130-2450
Fax: (615) 617-3627
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 29252 Tennessee

Profile Details

NPI number 1215989520
LBN Legal business name Puckett, Karen Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Apr 14th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215989520 NPPES
Tennessee Other 1215989520 NPI
Tennessee MEDICAID 3813920 NPI

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