Puckett, Meagan Wallace

Puckett, Meagan Wallace is an sole proprietor health care provider with primary practice located at 5680 Nc Highway 42 W , Garner NC 27529-8120. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Puckett, Meagan Wallace can be contacted via phone (191) 977-2895.

Contact Information

Primary practice address
5680 Nc Highway 42 W Garner NC 27529-8120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5006975 North Carolina

Profile Details

NPI number 1851707962
LBN Legal business name Puckett, Meagan Wallace
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2014
Last updated Aug 26th, 2014 - 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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