Individual
MRS. GINA WINNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
204 S MAIN ST, STATESBORO, GA 30458-0723
(912) 662-6501
(912) 681-1012
Mailing address
204 S MAIN ST, STATESBORO, GA 30458-0723
(912) 662-6501
(912) 681-1012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN152637
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
668134657A
—
GA
Enumeration date
05/03/2010
Last updated
12/02/2015
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