Healthcare Provider Details

I. General information

NPI: 1831442789
Provider Name (Legal Business Name): HALIMA AMA ALDER PICKETT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2012
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 FOREST HILLS RD W STE B
WILSON NC
27893-3392
US

IV. Provider business mailing address

3700 FETTLER PARK DR
DUMFRIES VA
22025-2050
US

V. Phone/Fax

Practice location:
  • Phone: 252-991-0555
  • Fax:
Mailing address:
  • Phone: 703-441-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5019873
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1019439
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024176791
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR189887
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN243778
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: