Provider Demographics
NPI:1194728659
Name:PINKNEY, BERNADETTE YVONNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:YVONNE
Last Name:PINKNEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8707 LOCKERLY CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-6807
Mailing Address - Country:US
Mailing Address - Phone:843-452-1307
Mailing Address - Fax:843-744-8936
Practice Address - Street 1:2047 COMSTOCK AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8117
Practice Address - Country:US
Practice Address - Phone:843-308-2400
Practice Address - Fax:843-744-8936
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCF665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCS83407Medicare UPIN