Individual
JACKIE SUSNNE WINFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
341 WALLACE RD STE D, NASHVILLE, TN 37211-8001
(615) 832-2200
(615) 832-2020
Mailing address
341 WALLACE RD STE D, NASHVILLE, TN 37211-8001
(615) 832-2200
(615) 832-2020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4298617
TN
363L00000X
Nurse Practitioner
Primary
19955
TN
Other
Enumeration date
06/06/2007
Last updated
07/21/2022
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