Provider Demographics
NPI:1750552014
Name:COFFIELD, SHERRY E (APN)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:E
Last Name:COFFIELD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 ALCOA HWY
Mailing Address - Street 2:SUITE E260
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-2244
Mailing Address - Country:US
Mailing Address - Phone:865-305-6810
Mailing Address - Fax:865-305-6803
Practice Address - Street 1:1940 ALCOA HWY
Practice Address - Street 2:SUITE E260
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2244
Practice Address - Country:US
Practice Address - Phone:865-305-6810
Practice Address - Fax:865-305-6803
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000013069364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN0000013069OtherSTATE LICENSE