MEDICARE: MRS. ERIN MARIA STINNETT MMS, PA-C

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
1	363A00000X	Physician Assistant	3407	TN
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1164932497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN MARIA STINNETT MMS, PA-C

Provider Business Mailing Address
First Line	:	130 ENGLISH OAKS CIR NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-4555
Country	:	US
Telephone Number	:	423-715-6866
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 ENGLISH OAKS CIR NE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-4555
Country	:	US
Telephone Number	:	423-715-6866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	01/01/2026

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