Provider Demographics
NPI:1699842989
Name:PLEASANTS, TINA M (FNP)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:M
Last Name:PLEASANTS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35322
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99803-5322
Mailing Address - Country:US
Mailing Address - Phone:907-500-9033
Mailing Address - Fax:
Practice Address - Street 1:3220 HOSPITAL DR
Practice Address - Street 2:STE 101
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7899
Practice Address - Country:US
Practice Address - Phone:907-364-2668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily