Pickett, Lisa R

Pickett, Lisa R is an individual health care provider with primary practice located at 758 S. Willow Ave., , Cookeville TN 38501-3840. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pickett, Lisa R can be contacted via phone (931) 526-6173.

Contact Information

Primary practice address
758 S. Willow Ave., Cookeville TN 38501-3840
Phone: (931) 526-6173
Fax: (931) 526-6173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8414 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN8418 Tennessee

Profile Details

NPI number 1073582615
LBN Legal business name Pickett, Lisa R
Credentials D.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582615 NPPES
Tennessee MEDICAID Q004696
Tennessee Other APN8418
Tennessee Other 4123798
Tennessee Other 3207

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