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

Primary practice address
111 Doctor Cir Columbia SC 29203-6502
Phone: (800) 491-0909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982091831 NPPES
South Carolina MEDICAID NP4120

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