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Individual

MS. LISA R PICKETT

Active
Find providers by NPI
Individual

MS. LISA R PICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.N.P.

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8414
TN
363LF0000X
Family Nurse Practitioner
APN8418
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3207
TN BOARD OF NURSING
TN
01
—
4123798
BCBST
TN
01
—
APN8418
STATE LICENSE NUMBER
TN
05
—
Q004696
—
TN
Enumeration date
03/16/2006
Last updated
03/07/2023
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