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Search › Alabama › 363L00000X

Jake Pickens, CRNP

NPI 1770351769 · on the registry since 2023

Practice

Address
1728 11th Ave
Haleyville, AL 35565
Phone
(205) 485-7822
Fax
(833) 449-4072
Organisation at this address
Revive Medical Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163WE0003X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama