Individual provider · Type 1 NPI

Justin E. Pickens, APRN

Nurse Practitioner · Port Charlotte, FL

NPI number 1790371995 Active

Practice location

4235 Kings Highway, Suite 103
Port Charlotte, FL 33980-8421

Call (941) 613-1777 Map

Fax (941) 613-1779

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X11010438 (FL)
Nurse Practitioner Primary 363L00000X11010438 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790371995

Justin E. Pickens, APRN's National Provider Identifier is 1790371995, issued on Dec 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Apr 30, 2025.