JESSICA PUCKETT L.AC. NPI 1760949861

NPI Information

NPI: 1760949861
Provider Name: JESSICA PUCKETT, L.AC.
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
1314 PEABODY AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 321-5803
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Jessica Puckett, L.AC. is an acupuncturist in Memphis, TN. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Jessica Puckett, L.AC. NPI is 1760949861. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1314 PEABODY AVE
MEMPHIS, TN
ZIP 38104-500
Phone: (901) 321-5803

The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		ACU0000000145	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ACU0000000145	OTHER	TENNESSEE	TENNESSEE MEDICAL BOARD LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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