# JAN WINSOME WEST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487876975
- **Gender:** F
- **Credential:** MSN, PMHCNS/NP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 105380 | NC | — |
| 163W00000X | Registered Nurse | 138 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5004710 | NC | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 105380 | NC | — |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 03/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6113093 | — | NC |