Provider Demographics
NPI:1760863732
Name:WINNIE, JANET ELAINE (RN, BS)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ELAINE
Last Name:WINNIE
Suffix:
Gender:F
Credentials:RN, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347-3301
Mailing Address - Country:US
Mailing Address - Phone:423-942-2238
Mailing Address - Fax:423-942-9186
Practice Address - Street 1:24 E 7TH ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347-3301
Practice Address - Country:US
Practice Address - Phone:423-942-2238
Practice Address - Fax:423-942-9186
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000043701163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health