MS. JENNIFER H PUCKETT


Address: 777 Franklin Rd Se, Marietta, GA 30067-7803
Phone: 7707326007

MS. JENNIFER H PUCKETT (NPI# 1710931548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710931548
Entity Type Individual
Full Name MS. JENNIFER H PUCKETT
Other Name JENNIFER H LESTER
Credential MSN, ARNP, CPNP
Practice Address 777 Franklin Rd Se
Marietta
GA 30067-7803
Mailing Address 3355 George Busbee Pkwy Nw
Apt. 1001
Kennesaw
GA 30144-6823
Practice Telephone 7707326007
Practice Fax Number 7707328242
Mailing Telephone 2147890423
Enumeration Date 2006-05-19
Last Update Date 2014-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
628818 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 152489401 05

Other Providers JENNIFER PUCKETT

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1124313739 Jennifer Ann Puckett Pharmacist 755 Nw Gilman Blvd, T-0996, Issaquah, WA 98027-5357 2011-06-10
1245547405 Jennifer Stanfield Puckett Physician Assistant 811 13th St, Pob 3, Suite 10, Augusta, GA 30901-2700 2010-09-09
1700098266 Jennifer Suzanne Puckett Audiologist 3099 River Rd S, Ste 150, Salem, OR 97302-9754 2007-05-04

Office Location

Street Address 777 FRANKLIN RD SE
City MARIETTA
State GA
Zip Code 30067-7803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114901337 Mary Elizabeth Cahill Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2005-12-01
1265850788 Dianna Linda Rains Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2014-04-01
1205142783 Robin Asay Burris Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2010-08-23
1972756732 Nuestros Ninos Our Kids Pediatrics Inc. Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2008-10-24
1194873828 Susan E. Lomax Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2007-01-08
1457412934 Ana Lynn Tesh Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2006-12-12
1528094604 Joanna Hopkins Clark Pediatrics 777 Franklin Rd Se, Marietta, GA 30067-7803 2006-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689140022 Sherry Wilson King Marriage & Family Therapist 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 2018-10-23
1053886861 Precious Angel Home Care Services Inc Adult Companion 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 2018-10-08
1194206466 Joshua P Moree Chiropractor 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 2018-08-24
1841778081 Sun Pediatrics LLC Pediatrics 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 2018-07-31
1508358714 Mbs Wellness Group, LLC Durable Medical Equipment & Medical Supplies 62 Shawnee Trail Se, Marietta, GA 30067 2018-06-04
1497254213 Allison M Jancik Chiropractor 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 2018-02-07
1801304969 Danielle Ann Dietrich Chiropractor 805 Winterset Pkwy Se, Marietta, GA 30067 2018-01-11
1740794866 Jessica Lofgren Chiropractor 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 2017-11-28
1871026393 Rhonda Dawes Milner Counselor 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 2017-04-11
1457894537 Carcelia Delk Counselor 1110 Augusta Dr Se, Marietta, GA 30067 2016-11-22
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740816487 Aleksa Rozman Nurse Practitioner 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 2020-03-13
1427539741 Emily Dorsey Drew Nurse Practitioner 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 2018-08-24
1932648730 Nnokp Nurse Practitioner 777 Franklin Gtwy Se, Marietta, GA 30067-7803 2017-02-14
1154789949 Jennifer Lee Besse Nurse Practitioner 121 Marble Mill Rd Nw Ste 101, Marietta, GA 30060-7959 2016-02-08
1134460207 Ganielle Hooper Nurse Practitioner 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 2013-03-13
1720136476 Mary B. Hammock Nurse Practitioner 3911 Mary Eliza Trce Nw, Suite 200, Marietta, GA 30064-1086 2007-01-08
1114901337 Mary Elizabeth Cahill Nurse Practitioner 777 Franklin Rd Se, Marietta, GA 30067-7803 2005-12-01
1194226068 Axis Hope, LLC Nurse Practitioner 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 2018-02-26
1811436348 Charlotte Fischer Grulke Nurse Practitioner 2520 Windy Hill Rd Se, Suite 104, Marietta, GA 30067-8664 2017-02-16
1487105672 Meagan Darling Nurse Practitioner 3911 Mary Eliza Trce Nw, #200, Marietta, GA 30064-1086 2016-10-22
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Competitor

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City MARIETTA
Zip Code 30067

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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