Provider Demographics
NPI:1366918930
Name:POINTE MEDICAL PLLC
Entity type:Organization
Organization Name:POINTE MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBOARD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:865-280-1466
Mailing Address - Street 1:705 MAIN STREET
Mailing Address - Street 2:2
Mailing Address - City:OLIVER SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37840
Mailing Address - Country:US
Mailing Address - Phone:865-280-1466
Mailing Address - Fax:865-285-9701
Practice Address - Street 1:705 MAIN STREET
Practice Address - Street 2:2
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840-1761
Practice Address - Country:US
Practice Address - Phone:865-280-1466
Practice Address - Fax:865-285-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty