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Individual

JAN WINSOME WEST

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
1805 TILLEY FARM RD, ROUGEMONT, NC 27572-9309
(919) 451-6645
Mailing address
1805 TILLEY FARM RD, ROUGEMONT, NC 27572-9309
(919) 451-6645

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6113093
NC
Enumeration date
05/03/2007
Last updated
03/31/2022
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