Individual
BONNIE DIANE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
(251) 824-2286
Mailing address
1209 BIENVILLE BLVD, DAUPHIN ISLAND, AL 36528-4359
(251) 214-6119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-158008
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345214
—
AL
01
—
513-27535
BCBS
AL
Enumeration date
10/26/2023
Last updated
04/23/2026
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