Pickett, Stephanie

Pickett, Stephanie is an individual health care provider with primary practice located at 3333 Brookview Hills Blvd Suite 107 Total Family Care Of Winston Salem, Winston-Salem NC 27103-5661. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pickett, Stephanie can be contacted via phone (336) 760-8380.

Contact Information

Primary practice address
3333 Brookview Hills Blvd Suite 107 Total Family Care Of Winston Salem Winston-Salem NC 27103-5661
Fax: (336) 760-8388
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 900280 North Carolina

Profile Details

NPI number 1598740839
LBN Legal business name Pickett, Stephanie
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 9th, 2007 - about 18 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 1598740839 NPPES
North Carolina MEDICAID 7000348

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