Provider Demographics
NPI:1164932497
Name:STINNETT, ERIN MARIA (MMS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MARIA
Last Name:STINNETT
Suffix:
Gender:F
Credentials:MMS, PA-C
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:MARIA
Other - Last Name:CATES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:195 STONEBRIDGE LN NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-4600
Mailing Address - Country:US
Mailing Address - Phone:423-715-6866
Mailing Address - Fax:
Practice Address - Street 1:3770 OCOEE PL NW STE 100
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-6015
Practice Address - Country:US
Practice Address - Phone:423-400-0739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TN3407363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant