Provider Demographics
NPI:1497386155
Name:PINCKNEY, MICHELLE YVETTE (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:YVETTE
Last Name:PINCKNEY
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13983
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29422-3983
Mailing Address - Country:US
Mailing Address - Phone:770-870-0544
Mailing Address - Fax:
Practice Address - Street 1:1094 WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-5322
Practice Address - Country:US
Practice Address - Phone:843-377-5686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV828630363LP0808X
SC23659363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health