Individual
KOURTNEY N PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-7567
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024414
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
10/02/2018
Last updated
03/27/2019
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