Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica D Pickens, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1407257942

Jessica D Pickens, APRN-CNP is a Nurse Practitioner in Tishomingo, Oklahoma. Qualified in 2014, 12 years ago. Practices with Legacy Family Medicine PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2014
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Practice location Address checks out

610 E 24th St
Tishomingo, OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 371-2451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0096230 (OK)

Record details

NPI number1407257942
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedSeptember 15, 2014
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Legacy Family Medicine Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tishomingo