Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Puckett

Individual provider Case Manager/Care Coordinator · NPI 1114659067

Jacob Puckett is a Case Manager/Care Coordinator in Rapid City, South Dakota. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

111 N St
Rapid City, SD 57701-1163
Phone: (605) 343-0650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1114659067
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 29, 2022
Certification dateJune 24, 2022

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