Individual
SUSAN LYNN WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
920 UNIVERSITY ST, MARTIN, TN 38237-1605
(731) 588-4000
Mailing address
220 BOAZ RD, DRESDEN, TN 38225-2037
(731) 599-8526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
76215
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76215
LPN
TN
Enumeration date
07/23/2013
Last updated
07/23/2013
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