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IVAN LIONEL PICKLE JR. LPN
NPI 1891239349
Licensed Practical Nurse in Johnson City, TN

Active since December 16, 2016
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-1410(423) 431-6370 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan Lionel Pickle Jr. Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN LIONEL PICKLE JR. LPN (NPI 1891239349) is an individual licensed practical nurse in Johnson City, Tennessee, licensed in Tennessee (32270) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1891239349
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameIVAN LIONEL PICKLE JR.Credential: LPN
Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035
Mailing Address400 N State Of Franklin RdJohnson City, TN 37604-6035 · (423) 431-1410 · Fax (423) 431-6370
Phone(423) 431-1410
Fax(423) 431-6370
Sole ProprietorYes
Enumeration DateDecember 16, 2016
✔ NPI 1891239349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TN · 32270
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CASEY JAMES WILBERT PHARM.D
Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-2787
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Washington County (423) 431-5965
MITCHELL DESHAZER
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727
DR. ANDREW LEE GIBSON MD
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
MCKENZIE PEARL GREGG PA-C, MMS, MPH
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
OLUWATOSIN ORIOLA AYANJOKE MD
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
HUNTER DORTON
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
DR. LEON CHARLES BASS M.D.
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Pickle's NPI number?

The NPI number for Ivan Pickle is 1891239349. It was assigned to this individual provider in the NPPES registry on December 16, 2016.

Where is Ivan Pickle located?

Ivan Pickle practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-1410.

What is Ivan Pickle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ivan Pickle was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.