Provider Demographics
NPI:1740583491
Name:WINCHESTER, JAMES HARVEY (APRN-NP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HARVEY
Last Name:WINCHESTER
Suffix:
Gender:M
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9360 PAWNEE RD STE B-1
Mailing Address - Street 2:
Mailing Address - City:GIBBON
Mailing Address - State:NE
Mailing Address - Zip Code:68840-6114
Mailing Address - Country:US
Mailing Address - Phone:308-627-6390
Mailing Address - Fax:308-468-9118
Practice Address - Street 1:9360 PAWNEE RD
Practice Address - Street 2:
Practice Address - City:GIBBON
Practice Address - State:NE
Practice Address - Zip Code:68840
Practice Address - Country:US
Practice Address - Phone:308-627-6390
Practice Address - Fax:308-468-9118
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY43176363LP0808X, 364SP0808X
NE111197363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health