| NPI | 1811187933 | 
|---|---|
| Former Name | TRISHA ANN PICKENS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.07994)  | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.07994-NP)  | 
| Enumeration Date | 2007-07-25 | 
| Last Update Date | 2024-06-12 |