Provider Demographics
NPI:1902474802
Name:PINKSTAFF, KORINNE ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:KORINNE
Middle Name:ELIZABETH
Last Name:PINKSTAFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1694 TROY RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-8216
Mailing Address - Country:US
Mailing Address - Phone:812-254-3800
Mailing Address - Fax:
Practice Address - Street 1:1694 TROY RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-8216
Practice Address - Country:US
Practice Address - Phone:812-254-3800
Practice Address - Fax:812-254-3801
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28129158A364SL0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care