Individual
MRS. CHARLOTTE MARRIE PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6294 E ST HWY 69, ALBA, TX 75410
(903) 513-0457
Mailing address
6294E ST HWY 69, ALBA, TX 75410
(903) 513-0457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140254
TX
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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