Individual
SHJUAN D PICKETT-CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1768 S WASHINGTON ST, MARION, AL 36756-3406
(334) 682-9085
(334) 682-9082
Mailing address
1768 S WASHINGTON ST, MARION, AL 36756-3406
(334) 682-9086
(334) 682-9082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-113983
AL
Other
Enumeration date
10/20/2014
Last updated
04/26/2017
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