1194728659 NPI number — MRS. BERNADETTE YVONNE PINKNEY FNP

Table of content: MRS. BERNADETTE YVONNE PINKNEY FNP (NPI 1194728659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194728659 NPI number — MRS. BERNADETTE YVONNE PINKNEY FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PINKNEY
Provider First Name:
BERNADETTE
Provider Middle Name:
YVONNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194728659
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8707 LOCKERLY CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH CHARLESTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29420-6807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-452-1307
Provider Business Mailing Address Fax Number:
843-744-8936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2047 COMSTOCK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29405-8117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-308-2400
Provider Business Practice Location Address Fax Number:
843-744-8936
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  F665 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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