Healthcare Provider Details

I. General information

NPI: 1255571667
Provider Name (Legal Business Name): SHEREE LEA PITTMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEREE LEA DUCKER

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 DAMERON AVE
KNOXVILLE TN
37917-6413
US

IV. Provider business mailing address

140 DAMERON AVE
KNOXVILLE TN
37917-6413
US

V. Phone/Fax

Practice location:
  • Phone: 865-215-5196
  • Fax: 865-215-5199
Mailing address:
  • Phone: 865-215-5196
  • Fax: 865-215-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberRN0000047475
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: