Pickett, Jennifer Nicole

Pickett, Jennifer Nicole is an individual health care provider with primary practice located at Centracare Clinic Adult And Pediatric Urology 2351 Connecticut Avenue South #200, St Cloud MN 56303-2477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pickett, Jennifer Nicole can be contacted via phone (320) 259-1411.

Contact Information

Primary practice address
Centracare Clinic Adult And Pediatric Urology 2351 Connecticut Avenue South #200 St Cloud MN 56303-2477
Phone: (320) 259-1411
Fax: (320) 259-8967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11242 Minnesota

Profile Details

NPI number 1508112178
LBN Legal business name Pickett, Jennifer Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2012
Last updated Jan 25th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508112178 NPPES
Minnesota MEDICAID ENROLLED

Popular Providers