Provider Demographics
NPI:1851007934
Name:COFFIN, PAMELA D
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:D
Last Name:COFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 COUNTRY OAK CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3429
Mailing Address - Country:US
Mailing Address - Phone:865-210-3481
Mailing Address - Fax:865-219-1307
Practice Address - Street 1:214 COUNTRY OAK CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3429
Practice Address - Country:US
Practice Address - Phone:865-210-3481
Practice Address - Fax:865-219-1307
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty