| Ms Jennifer H Puckett, MSN, ARNP, CPNP | |
|
777 Franklin Rd Se, Marietta, GA 30067-7803 | |
| (770) 732-6007 | |
| (770) 732-8242 |
| Full Name | Ms Jennifer H Puckett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 777 Franklin Rd Se, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710931548 | NPI | - | NPPES |
| 152489401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 628818 (Texas) | Primary |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer H Puckett, MSN, ARNP, CPNP 3355 George Busbee Pkwy Nw, Apt. 1001, Kennesaw, GA 30144-6823 Ph: (214) 789-0423 | Ms Jennifer H Puckett, MSN, ARNP, CPNP 777 Franklin Rd Se, Marietta, GA 30067-7803 Ph: (770) 732-6007 |
Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602 | |
Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064 Phone: 678-802-8665 Fax: 678-540-4250 | |
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 | |
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938 | |
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198 | |
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420 | |
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444 |