TARA PUCKETT

COLDWATER, MS
NPI1942695929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R880191)
Enumeration Date2015-04-06
Last Update Date2021-12-01
Business Address
TARA PUCKETT NP-C
423 CENTRAL AVE
COLDWATER, MS 38618-3915
Phone number: 662-622-7011
Mailing Address
TARA PUCKETT NP-C
400 NORTHWEST PLZ
SENATOBIA, MS 38668-1740
Phone number: 662-301-8330