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NPI Code Detail

MEDICARE: JAMES LAVON WINSTON FNP

MEDICARE:   JAMES LAVON WINSTON  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024190943VA

General Provider Information

NPI Number : 1720811003
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LAVON WINSTON FNP
Provider Business Mailing Address
First Line : 321 POPLAR DR STE C
Second Line :
City : PETERSBURG
State : VA
Zip : 23805-9391
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 321 POPLAR DR STE C
Second Line :
City : PETERSBURG
State : VA
Zip : 23805-9391
Country : US
Telephone Number : 804-733-5591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 03/19/2026

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Directions to “ JAMES LAVON WINSTON FNP” Practice Location

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