Provider Demographics
NPI:1790956969
Name:WINCHESTER, INAS (NP-C)
Entity Type:Individual
Prefix:MS
First Name:INAS
Middle Name:
Last Name:WINCHESTER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:INAS
Other - Middle Name:
Other - Last Name:WINCHESTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:4616 BUCKPASSER AVE
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2184
Mailing Address - Country:US
Mailing Address - Phone:615-772-8361
Mailing Address - Fax:
Practice Address - Street 1:4616 BUCKPASSER AVE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2184
Practice Address - Country:US
Practice Address - Phone:615-772-8361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2015-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN156370163WP0808X
TNAPN0000019527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health