Puckett-Lawson, Amy Leigh

Puckett-Lawson, Amy Leigh is an individual health care provider with primary practice located at 2133 Rockford St Ste 1400 , Mount Airy NC 27030-6594. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Puckett-Lawson, Amy Leigh can be contacted via phone (336) 719-0398.

Contact Information

Primary practice address
2133 Rockford St Ste 1400 Mount Airy NC 27030-6594
Phone: (336) 719-0398
Fax: (336) 719-0494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024168630 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5008637 North Carolina

Profile Details

NPI number 1134451206
LBN Legal business name Puckett-Lawson, Amy Leigh
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Aug 10th, 2023 - about last year

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 1134451206 NPPES
Virginia Other 0024168630 VA LICENSE

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