Puckett, Sonya Renee
Puckett, Sonya Renee is an individual health care provider with primary practice located at 111 Doctor Cir , Columbia SC 29203-6502. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Puckett, Sonya Renee can be contacted via phone (800) 491-0909.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 9302684 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 9302684 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 9302684 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 20299 | South Carolina |
Profile Details
NPI number | 1982091831 |
---|---|
LBN Legal business name | Puckett, Sonya Renee |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2015 |
Last updated | Nov 8th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982091831 | NPPES |
South Carolina | MEDICAID | NP4120 |
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