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Individual

JUSTEN L. BICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1325 TRIPLETT ST # A, OWENSBORO, KY 42303
(270) 686-8500
(270) 685-5467
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
(270) 691-8026

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010986
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100445780
KY
Enumeration date
02/01/2017
Last updated
11/27/2023
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