Provider Demographics
NPI:1376378612
Name:WINANS, DARCI JUSTINE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:DARCI
Middle Name:JUSTINE
Last Name:WINANS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 BLACKJACK RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-5695
Mailing Address - Country:US
Mailing Address - Phone:575-567-9016
Mailing Address - Fax:
Practice Address - Street 1:1109 BLACKJACK RIDGE ST
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-5695
Practice Address - Country:US
Practice Address - Phone:575-567-9016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035064363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health