Individual
TIMOTHY W. PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
11645 HIGHWAY 51 S STE 103, ATOKA, TN 38004-2001
(901) 407-2221
(901) 407-2300
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27519
TN
363LF0000X
Family Nurse Practitioner
903792
MS
Other
Enumeration date
01/25/2020
Last updated
11/09/2023
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