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Individual

MR. JUSTIN E. PICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4235 KINGS HIGHWAY, SUITE 103, PORT CHARLOTTE, FL 33980-8421
(941) 613-1777
(941) 613-1779
Mailing address
4235 KINGS HIGHWAY, SUITE 103, PORT CHARLOTTE, FL 33980-8421
(941) 613-1777
(941) 613-1779

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11010438
FL
363LA2100X
Acute Care Nurse Practitioner
11010438
FL

Other

Enumeration date
12/12/2020
Last updated
04/30/2025
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