JESSICA PUCKETT (NPI# 1124525308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124525308 |
| Entity Type | Individual |
| Full Name | JESSICA PUCKETT |
| Practice Address |
2650 Lake Rd Dyersburg TN 38024-1656 |
| Practice Telephone | 7312866700 |
| Mailing Telephone | 7312866700 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 29359 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891153755 | Jessica Puckett | Social Worker | 149 Chillicothe Ave, Hillsboro, OH 45133-1533 | 2016-02-08 |
| 1760949861 | Jessica Puckett | Acupuncturist | 1314 Peabody Ave, Memphis, TN 38104-3500 | 2019-02-25 |
| 1942672480 | Jessica Puckett | Speech-Language Pathologist | 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107-7277 | 2015-10-23 |
| 1285856245 | Jessica Lynn Puckett | Obstetrics & Gynecology | 3300 W Centre Ave, Portage, MI 49024-4666 | 2007-05-02 |
| Street Address |
2650 LAKE RD |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548287741 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2650 Lake Rd, Dyersburg, TN 38024-1656 | 2006-07-16 |
| 1780152785 | Thomas Buss | Pharmacist | 2650 Lake Rd, Dyersburg, TN 38024-1656 | 2018-11-07 |
| 1619474806 | Joel Allen Deal | Pharmacist | 2650 Lake Rd, Dyersburg, TN 38024-1656 | 2018-04-12 |
| 1598848210 | Wal-mart Stores East, Lp | Technician/Technologist | 2650 Lake Rd, Dyersburg, TN 38024-1656 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1821221961 | Bethany Wilks | Pharmacist | 1502 Brayton Avenue, Dyersburg, TN 38024 | 2009-08-24 |
| 1306078936 | Mart W James | Pharmacist | 1502 Brayton Ave, Dyersburg, TN 38024-3159 | 2009-08-15 |
| 1285758946 | Alesia Stanley Bowers | Pharmacist | 470 Hwy 51 By-pass West, Dyersburg, TN 38024 | 2007-03-19 |
| 1750424305 | John Mark Bowers | Pharmacist | 100 N Main Ave, Dyersburg, TN 38024-4625 | 2007-02-14 |
| 1003837535 | Curtis Ray Colbert | Pharmacist | 2490 Parr Ave Ste 9, Dyersburg, TN 38024-2030 | 2006-07-21 |
| 1972588838 | Christi L Jacobi | Pharmacist | 101 S Mill Ave, Dyersburg, TN 38024-4636 | 2005-12-13 |
| 1659991024 | Rachael Eileen Wisdom | Pharmacist | 2615 Lake Rd, Dyersburg, TN 38024-1605 | 2020-04-25 |
| 1245895580 | Emily Rose Crum | Pharmacist | 2490 Parr Ave Ste 9, Dyersburg, TN 38024-2030 | 2019-05-02 |
| 1780152785 | Thomas Buss | Pharmacist | 2650 Lake Rd, Dyersburg, TN 38024-1656 | 2018-11-07 |
| Find all providers in DYERSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.