MEDICARE: PINNACLE FAMILY PRACTICE PLLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1407569551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE FAMILY PRACTICE PLLC

Provider Business Mailing Address
First Line	:	150 J W THOMPSON RD
Second Line	:
City	:	WESTMORELAND
State	:	TN
Zip	:	37186-5200
Country	:	US
Telephone Number	:	615-766-7624
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 NASHVILLE PIKE STE 7D
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-3194
Country	:	US
Telephone Number	:	629-359-4686
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	MRS. CRYSTAL YOKLEY
Credential	:	FNP
Telephone Number	:	629-395-4686

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	03/23/2023

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