Individual provider · Type 1 NPI

Shasta Pickens

Family Nurse Practitioner · Laurel, MS

NPI number 1679297436 Active

Practice location

117 S 11th Ave
Laurel, MS 39440-4312

Fax (601) 422-0693

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X907092 (MS)
Student in an Organized Health Care Education/Training Program 390200000X907223 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1679297436

Shasta Pickens's National Provider Identifier is 1679297436, issued on Sep 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laurel, MS. The record was last updated on Jan 14, 2025.