Provider Demographics
NPI:1659373710
Name:PINKARD, DIANE O (BS,MSN,FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:O
Last Name:PINKARD
Suffix:
Gender:F
Credentials:BS,MSN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 BAUM DR
Mailing Address - Street 2:STE 140
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7361
Mailing Address - Country:US
Mailing Address - Phone:865-584-5727
Mailing Address - Fax:865-450-9904
Practice Address - Street 1:9320 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2319
Practice Address - Country:US
Practice Address - Phone:865-801-9501
Practice Address - Fax:865-801-9504
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6134363L00000X
TNAPN0000006134363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNS95577Medicare UPIN
TN3920071Medicare PIN
TN33724727Medicaid
TN4090338OtherBCBS