James Addison Puckett
Nurse Practitioner - Neonatal
5430 Fredericksburg Rd
San Antonio
, Texas 78229
James Addison Puckett
Nurse Practitioner - Neonatal
5430 Fredericksburg Rd
San Antonio
, Texas 78229
(210) 541-9123
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- James Addison Puckett
- 5430 Fredericksburg Rd Ste 508
- San Antonio, TX
- Zip : 78229-3561
- Fax : (210) 541-9123
- Phone : (210) 541-8281
Second Address
- James Addison Puckett
- 5430 Fredericksburg Rd
- San Antonio, TX
- Zip : 78229
- Phone : (800) 243-3839
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | AP138325 | TX |
National Provider Identifier
| NPI | 1093200107 |
|---|---|
| Provider Name | James Addison Puckett |
| First Address | San Antonio, TX 78229-3561 |
| Second Address | San Antonio, TX 78229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2018 |
| Last Update Date | 08/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.