Individual provider · NPI-1
Misty Pickett, RN
Registered Nurse, General Practice · Clearwater, FL
NPI number1013782333
StatusActive
Last updated in NPPESNov 21, 2023
Details
- NPI
- 1013782333
- Entity type
- Individual (NPI-1)
- Name
- Misty Pickett
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2023
- Certification date
- Nov 21, 2023
- Last updated
- Nov 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 9485408 | FL | Yes |
Practice location
29141 Us Highway 19 N Lot 65Clearwater, FL 33761-2426
Phone 888-411-7686
Mailing address
29141 Us Highway 19 N Lot 65Clearwater, FL 33761-2426
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