Provider Demographics
NPI:1316967086
Name:HARKEY, BRENDA J (FNP)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:J
Last Name:HARKEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7920 SAM FURR RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-8911
Mailing Address - Country:US
Mailing Address - Phone:704-896-3671
Mailing Address - Fax:
Practice Address - Street 1:232 CONCORD RD
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-4612
Practice Address - Country:US
Practice Address - Phone:704-986-3900
Practice Address - Fax:704-986-3913
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201412363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1316967086Medicaid
NC7003786Medicaid
SCNP3644Medicaid
NCNC8939HMedicare PIN
NCNC8939CMedicare PIN
NC2599413BMedicare PIN
NCP18751Medicare UPIN
NC1316967086Medicaid
NCNC8939EMedicare PIN
NCNC8939BMedicare PIN
NCNC8939AMedicare PIN
NC7003786Medicaid
NCNC8939FMedicare PIN