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

Mallory B Puckett, CNP

Individual provider Family Nurse Practitioner · NPI 1447753520

Mallory B Puckett, CNP is a Nurse Practitioner in Canton, Ohio. Qualified in 2017, 9 years ago. Practices with Community Health Care Inc, a 65-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4143 Fulton Dr NW
Canton, OH 44718-2819
Phone: (330) 244-8888
Fax: (330) 244-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 387 3rd St, Bergholz, OH 43908-7963 — (740) 768-1001
  • 1700 Boettler Rd Ste 100, Uniontown, OH 44685-7793 — (330) 896-0009

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.022510 (OH)

Record details

NPI number1447753520
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Health Care Inc. — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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