Individual
MRS. MARTHA JEAN PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7300
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN932182
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN932182
FL
363LG0600X
Gerontology Nurse Practitioner
932182
FM
Other
Enumeration date
02/01/2011
Last updated
03/13/2023
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