Provider Demographics
NPI:1578070405
Name:PICKENS, ERIKA LANET (LPN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LANET
Last Name:PICKENS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 STUCKEY RD
Mailing Address - Street 2:
Mailing Address - City:DUBBERLY
Mailing Address - State:LA
Mailing Address - Zip Code:71024-2814
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1432 STUCKEY RD
Practice Address - Street 2:
Practice Address - City:DUBBERLY
Practice Address - State:LA
Practice Address - Zip Code:71024-2814
Practice Address - Country:US
Practice Address - Phone:318-268-0629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-30
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA230575164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse