Provider Demographics
NPI:1710750575
Name:PINCOCK, MARINA ALANE (APRN, PMHNP-BC, RN)
Entity type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:ALANE
Last Name:PINCOCK
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 KENNY ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3536
Mailing Address - Country:US
Mailing Address - Phone:973-459-8079
Mailing Address - Fax:
Practice Address - Street 1:207 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2950
Practice Address - Country:US
Practice Address - Phone:615-359-6317
Practice Address - Fax:615-622-8727
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35035363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health