Provider Demographics
NPI:1558909739
Name:PICKERING, REGINA KAY (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:KAY
Last Name:PICKERING
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:1000 E JAMES ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-5820
Practice Address - Country:US
Practice Address - Phone:281-422-5437
Practice Address - Fax:281-427-4050
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRN-596697163W00000X
TXAP144461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX596697OtherTEXAS BOARD OF NURSING