Provider Demographics
NPI:1720218845
Name:VAN WINKLE, JENNY LEIGH (MD)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:LEIGH
Last Name:VAN WINKLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24 FALCON CREST LN
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-6620
Mailing Address - Country:US
Mailing Address - Phone:828-456-7311
Mailing Address - Fax:828-452-8879
Practice Address - Street 1:24 FALCON CREST LN
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-6620
Practice Address - Country:US
Practice Address - Phone:828-456-7311
Practice Address - Fax:828-452-8879
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-01318207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology