MEDICARE: MRS. BERNADETTE YVONNE PINKNEY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F665	SC

General Provider Information

NPI Number	:	1194728659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BERNADETTE YVONNE PINKNEY FNP

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

Provider Business Practice Location Address
First Line	:	2047 COMSTOCK AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-8117
Country	:	US
Telephone Number	:	843-308-2400
Fax Number	:	843-744-8936

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

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