Individual
JACOB WESLEY WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W THOMAS RD, SUITE 900, PHOENIX, AZ 85013-4224
(602) 406-3860
Mailing address
500 W THOMAS RD, SUITE 900, PHOENIX, AZ 85013-4224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN171003
AZ
363L00000X
Nurse Practitioner
Primary
AP7949
AZ
Other
Enumeration date
06/25/2015
Last updated
08/06/2015
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