Individual
HALEY MARIE PEACE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
705 E MARSHALL AVE STE 1002, LONGVIEW, TX 75601-5660
(903) 759-7200
Mailing address
8700 MILLICENT WAY APT 1505, SHREVEPORT, LA 71115-2264
(318) 344-5035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
338744
LA
363A00000X
Physician Assistant
PA17250
TX
Other
Enumeration date
09/27/2023
Last updated
03/07/2025
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