Individual
MS. STEPHANIE PICKETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD, SUITE 107 TOTAL FAMILY CARE OF WINSTON SALEM, WINSTON-SALEM, NC 27103-5661
(336) 760-8380
(336) 760-8388
Mailing address
1474 FINWICK DR, PFAFFTOWN, NC 27040-9031
(336) 922-6786
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000348
—
NC
Enumeration date
12/09/2005
Last updated
07/09/2007
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