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NPI Code Detail

MEDICARE: MICHELLE PICKENS

MEDICARE: MICHELLE PICKENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1689528705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PICKENS
Provider Business Mailing Address
First Line : 1710 PENNSYLVANIA AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3934
Country : US
Telephone Number : 304-348-0707
Fax Number : 304-344-3546
Provider Business Practice Location Address
First Line : 1710 PENNSYLVANIA AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3934
Country : US
Telephone Number : 304-348-0707
Fax Number : 304-344-3546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “ MICHELLE PICKENS ” Practice Location

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