Provider Demographics
NPI:1407318678
Name:PINCKNEY-GREENE, BRANDI MELISSA (FNP-BC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:MELISSA
Last Name:PINCKNEY-GREENE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:MELISSA
Other - Last Name:PINCKNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:106 ROCK QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-3768
Mailing Address - Country:US
Mailing Address - Phone:404-808-5153
Mailing Address - Fax:
Practice Address - Street 1:696 MOUNT ZION RD STE B5
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1582
Practice Address - Country:US
Practice Address - Phone:404-800-5581
Practice Address - Fax:470-639-0133
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN165931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily