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

Kamilah Aisha Puckett, LVN

Individual provider Licensed Vocational Nurse · NPI 1306445911

Kamilah Aisha Puckett, LVN is a Licensed Vocational Nurse in Oakland, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

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Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 613-0330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 277590 (CA)

Record details

NPI number1306445911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorNo
NPI enumeratedOctober 23, 2020
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020

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