Provider Demographics
NPI:1730268319
Name:PINKSTON, ANITA ROCHELLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:ROCHELLE
Last Name:PINKSTON
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1800 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2567
Mailing Address - Country:US
Mailing Address - Phone:615-396-6800
Mailing Address - Fax:615-396-6801
Practice Address - Street 1:1800 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 410
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2567
Practice Address - Country:US
Practice Address - Phone:615-396-6800
Practice Address - Fax:615-396-6801
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN586363AM0700X
TNPA0000000586363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
3665218Medicare PIN
TN3665218Medicare PIN