Individual
MICHAEL A PICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
(251) 824-3444
Mailing address
P.O BOX 769, BAYOU LA BATRE, AL 36509
(251) 824-2174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-143378
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-143378
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236830
—
AL
Enumeration date
02/25/2019
Last updated
12/27/2021
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