Puckett, Tracey Renee

Puckett, Tracey Renee is an individual health care provider with primary practice located at 1385 S Highland Ave Ste B1 , Jackson TN 38301-7547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Puckett, Tracey Renee can be contacted via phone (731) 427-0470.

Contact Information

Primary practice address
1385 S Highland Ave Ste B1 Jackson TN 38301-7547
Phone: (731) 427-0470
Fax: (731) 427-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 30860 Tennessee

Profile Details

NPI number 1588323851
LBN Legal business name Puckett, Tracey Renee
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2021
Last updated Apr 29th, 2024 - 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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