Martha Maxine Puckett, FNP is a family nurse practitioner in De Kalb, MS. Martha Maxine Puckett, FNP NPI is 1104808732. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
14365 HIGHWAY 16 W
DE KALB, MS
ZIP 39328-974
Phone: (601) 743-4626
Fax: (601) 743-2133
The NPI 1104808732 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/18/2005 and was last updated on 11/6/2013.