| Doctor Name: | NANCY A. PUCKETT |
| NPI Number: | 1831238088 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHP, CPC |
| License Number: | 2947 |
| Business Practice Address: | 100 N 15th St Ord, NE - 688621458 |
| Business Phone Number: | 3087289979 |
| Business Fax Number: | 3087289980 |
| Mailing Address: | Po Box 226, ORD |
| State: | NE |
| Postal Code: | 688620226 |
| Phone Number: | 3087289979 |
| Fax Number: | 3087289980 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |