Individual
JANET G PICKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34517
TN
208M00000X
Hospitalist Physician
Primary
340968
LA
208M00000X
Hospitalist Physician
34517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201217521
PHP
TN
05
—
3856632
—
TN
01
—
4122116
BCBST
TN
01
—
TN0122
JOHN DEERE HEALTHCARE
TN
Enumeration date
12/28/2005
Last updated
12/30/2024
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