Provider Demographics
NPI:1518505965
Name:WINSTEAD, JESSICA (MSN, RN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 MOUNT ZION RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38261-7694
Mailing Address - Country:US
Mailing Address - Phone:731-885-8722
Mailing Address - Fax:731-885-4855
Practice Address - Street 1:1008 MOUNT ZION RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261-7694
Practice Address - Country:US
Practice Address - Phone:731-885-8722
Practice Address - Fax:731-885-4855
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN169709163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health