Puckett, Jessica
Puckett, Jessica is an sole proprietor health care provider with primary practice located at 1314 Peabody Ave , Memphis TN 38104-3500. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Puckett, Jessica can be contacted via phone (901) 321-5803.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | ACU0000000145 | Tennessee |
Profile Details
| NPI number | 1760949861 |
|---|---|
| LBN Legal business name | Puckett, Jessica |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2019 |
| Last updated | Feb 25th, 2019 - about 7 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 | 1760949861 | NPPES |
| Tennessee | Other | ACU0000000145 | TENNESSEE MEDICAL BOARD LICENSE |
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