MEDICARE: MS. DIANE O PINKARD BS,MSN,FNP-BC

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	363L00000X	Nurse Practitioner	6134	TN

General Provider Information

NPI Number	:	1659373710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANE O PINKARD BS,MSN,FNP-BC

Provider Business Mailing Address
First Line	:	6701 BAUM DR
Second Line	:	STE 140
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-7361
Country	:	US
Telephone Number	:	865-584-5727
Fax Number	:	865-450-9904

Provider Business Practice Location Address
First Line	:	9320 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-2319
Country	:	US
Telephone Number	:	865-801-9501
Fax Number	:	865-801-9504

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	07/16/2019

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