DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA PUCKETT L.AC.

MEDICARE: JESSICA PUCKETT L.AC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistACU0000000145TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ACU0000000145OTHERTNTENNESSEE MEDICAL BOARD LICENSE

General Provider Information

NPI Number : 1760949861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA PUCKETT L.AC.
Provider Business Mailing Address
First Line : 220 HILLDALE LN
Second Line :
City : MILLINGTON
State : TN
Zip : 38053-0368
Country : US
Telephone Number : 901-641-6830
Fax Number :
Provider Business Practice Location Address
First Line : 1314 PEABODY AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3500
Country : US
Telephone Number : 901-321-5803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 02/25/2019

Similar Medicare Providers

1497244909 — RADIX WELLNESS, LLC
Practice Location Address:
1314 PEABODY AVE
MEMPHIS, TN
38104-3500
Practice Phone: 901-828-8019
Practice Fax:
1497211254 — LAUREN BRERETON RD
Practice Location Address:
1314 PEABODY AVE
MEMPHIS, TN
38104-3500
Practice Phone: 253-720-6137
Practice Fax:
1548817349 — SADIE WILKINSON JONES DPT
Practice Location Address:
1314 PEABODY AVE
MEMPHIS, TN
38104-3500
Practice Phone: 901-321-5803
Practice Fax:
1568008795 — RADIX WELLNESS, LLC
Practice Location Address:
1314 PEABODY AVE
MEMPHIS, TN
38104-3500
Practice Phone: 901-321-5803
Practice Fax:
1134745235 — ELLEN WARNOCK DPT
Practice Location Address:
1314 PEABODY AVE
MEMPHIS, TN
38104-3500
Practice Phone: 901-321-5803
Practice Fax: 901-405-0250
1093310161 — DR. SYIDAH ABDULLAH LPC-MHSP
Practice Location Address:
1314 PEABODY AVE
MEMPHIS, TN
38104-3500
Practice Phone: 901-321-5803
Practice Fax:

Directions to “ JESSICA PUCKETT L.AC.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.