Provider Demographics
NPI:1770714669
Name:BANKS, WINOKA SHENELLE (FNP)
Entity type:Individual
Prefix:MS
First Name:WINOKA
Middle Name:SHENELLE
Last Name:BANKS
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:1918 WILLIAMS BLVD
Mailing Address - Street 2:JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-6232
Mailing Address - Country:US
Mailing Address - Phone:504-471-4860
Mailing Address - Fax:504-471-4873
Practice Address - Street 1:1918 WILLIAMS BLVD
Practice Address - Street 2:JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-6232
Practice Address - Country:US
Practice Address - Phone:504-471-4860
Practice Address - Fax:504-471-4873
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2017-02-16
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA086301163W00000X
LA05865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse