Individual
JEAN P WINFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5804 INDIAN PINES BLVD, FORT PIERCE, FL 34951-2302
(772) 828-3752
Mailing address
5804 INDIAN PINES BLVD, FORT PIERCE, FL 34951-2302
(772) 828-3752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9494502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100459080A
—
KS
05
—
428769608
—
MO
Enumeration date
09/16/2005
Last updated
01/27/2023
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