Individual
MRS. REANNA PICKERIGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 E BACON ST, HILLSDALE, MI 49242-1616
(517) 437-7040
Mailing address
12 E BACON ST, HILLSDALE, MI 49242-1616
(517) 437-7040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704619371
MI
363LF0000X
Family Nurse Practitioner
Primary
4704619371
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704319371
MI
Other
Enumeration date
02/09/2016
Last updated
08/06/2024
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