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General NPI Number Information
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NPI Number | 1487876975
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Entity Type | Individual
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Provider Name | JAN WINSOME WEST MSN, PMHCNS/NP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 1805 TILLEY FARM RD
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City | ROUGEMONT
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State | NC
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Zip | 27572-9309
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Country | US
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Telephone | 919-451-6645
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 TILLEY FARM RD
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City | ROUGEMONT
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State | NC
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Zip | 27572-9309
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Country | US
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Telephone | 919-451-6645
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 105380
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 138
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 105380
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5004710
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License Number State | NC
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