Provider Demographics
NPI:1407569551
Name:PINNACLE FAMILY PRACTICE PLLC
Entity Type:Organization
Organization Name:PINNACLE FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:YOKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:629-395-4686
Mailing Address - Street 1:150 J W THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37186-5200
Mailing Address - Country:US
Mailing Address - Phone:615-766-7624
Mailing Address - Fax:
Practice Address - Street 1:650 NASHVILLE PIKE STE 7D
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3194
Practice Address - Country:US
Practice Address - Phone:629-359-4686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care