Individual
VICKY LYNN PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
3828 COUNTY ROAD 124, ARCADIA, MO 63621-8889
(573) 546-0144
Mailing address
3828 COUNTY ROAD 124, ARCADIA, MO 63621-8889
(573) 546-0144
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
076592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427405808
—
MO
Enumeration date
02/15/2007
Last updated
09/20/2016
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