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Individual

TIFFANY WINCHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 528-7541
(217) 241-4760
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 525-7616

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021721
IL

Other

Enumeration date
01/26/2021
Last updated
01/26/2021
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