Provider Demographics
NPI:1255571667
Name:PITTMAN, SHEREE LEA (RN)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:LEA
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHEREE
Other - Middle Name:LEA
Other - Last Name:DUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 DAMERON AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-6413
Mailing Address - Country:US
Mailing Address - Phone:865-215-5196
Mailing Address - Fax:865-215-5199
Practice Address - Street 1:140 DAMERON AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-6413
Practice Address - Country:US
Practice Address - Phone:865-215-5196
Practice Address - Fax:865-215-5199
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000047475171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator