Pickens, Jolynn
Pickens, Jolynn is an sole proprietor health care provider with primary practice located at 7312 Geronimo Cir , North Little Rock AR 72116-4363. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Pickens, Jolynn can be contacted via phone (501) 835-4593.Contact Information
Primary practice address
7312 Geronimo Cir
North Little Rock AR 72116-4363
Phone: (501) 835-4593
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 494 | Arkansas |
Profile Details
| NPI number | 1396900676 |
|---|---|
| LBN Legal business name | Pickens, Jolynn |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2008 |
| Last updated | Aug 14th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396900676 | NPPES |
| Arkansas | MEDICAID | 174055721 | |
| Arkansas | MEDICAID | 105271724 | |
| Arkansas | MEDICAID | 142059724 | |
| Arkansas | MEDICAID | 116879742 |
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