Provider Demographics
NPI:1659306744
Name:PINCKNEY, CELLA DENISE (RN)
Entity Type:Individual
Prefix:
First Name:CELLA
Middle Name:DENISE
Last Name:PINCKNEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ALEXIS DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:SC
Mailing Address - Zip Code:29940-3812
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:721 N OKATIE HWY
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-8276
Practice Address - Country:US
Practice Address - Phone:843-987-7400
Practice Address - Fax:843-987-0197
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC52726OtherREGISTERED NURSE