Provider Demographics
NPI:1235426172
Name:WINFREY, CHRISTIE NICOLE (FNP)
Entity Type:Individual
Prefix:PROF
First Name:CHRISTIE
Middle Name:NICOLE
Last Name:WINFREY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4627
Mailing Address - Country:US
Mailing Address - Phone:409-813-1765
Mailing Address - Fax:409-813-1875
Practice Address - Street 1:3250 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4627
Practice Address - Country:US
Practice Address - Phone:409-813-1765
Practice Address - Fax:409-813-1875
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX723667363LF0000X, 363LP0808X
TXAP119173363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily