Healthcare Provider Details

I. General information

NPI: 1497618367
Provider Name (Legal Business Name): TERENCE MICHAEL PINKSTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 MAIN ST
HOPE VALLEY RI
02832-1920
US

IV. Provider business mailing address

823 MAIN ST
HOPE VALLEY RI
02832-1920
US

V. Phone/Fax

Practice location:
  • Phone: 401-387-4587
  • Fax:
Mailing address:
  • Phone: 401-387-4587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN04601
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2025009194
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: