Provider Demographics
NPI:1003793613
Name:PICKETT, DONNA LEE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LEE
Last Name:PICKETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SADDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-2998
Mailing Address - Country:US
Mailing Address - Phone:856-507-0839
Mailing Address - Fax:
Practice Address - Street 1:420 SADDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-2998
Practice Address - Country:US
Practice Address - Phone:856-507-0839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker