Individual
MELISSA LYNN PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5460
Mailing address
330 WIBLIN FRK, GAY, WV 25244-9672
(304) 531-2543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105538
WV
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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