person
Shasta Pickens
Student in an Organized Health Care Education/Training Program in Hattiesburg, Mississippi
NPI 1679297436

Shasta Pickens is a Student in an Organized Health Care Education/Training Program based in Bay Springs, MS. Shasta Pickens practices in Hattiesburg, MS. The NPI Number for Shasta Pickens is 1679297436 and holds a License No. 907223 (Mississippi).

The current practice location address for Shasta Pickens is 3215 Montague Blvd, Hattiesburg, MS and can be reached out via phone at 601-266-5454.

Location: 3215 Montague Blvd, Hattiesburg, MS, 39422-9045
person
Provider Profile Details
NPI Number
1679297436
Provider Name
Shasta Pickens
Credential
Provider Entity Type
Individual
Gender
Female
Address
3215 Montague Blvd, Hattiesburg, MS, 39422-9045
Phone Number
601-266-5454
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3215 Montague Blvd
City
State
Zip
39406-9045
Phone Number
601-266-5454
Fax Number
person
Provider Business Mailing Address Details
Address
3215 Montague Blvd
City
State
Zip
39406-9045
Phone Number
601-266-5454
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
907223 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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