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Organization

PSYCHIATRIC CONCEPTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERNEST EUGENE PICKETT MSN (SOLE OWNER)
(865) 591-4703
Entity
Organization

Contact information

Practice address
2620 MINERAL SPRINGS AVE, SUITE A, KNOXVILLE, TN 37917-1569
(865) 591-4703
(865) 288-3303
Mailing address
2620 MINERAL SPRINGS AVE, SUITE A, KNOXVILLE, TN 37917-1569
(865) 591-4703
(865) 288-3303

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14934
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN0000077192
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3373224
TN
05
3907658
TN
Enumeration date
12/15/2005
Last updated
07/18/2011
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