Individual provider · Type 1 NPI

Jack Winters, NP

Pediatric Nurse Practitioner · New York, NY

NPI number 1104607019 Active

Practice location

1468 Madison Ave Fl 3
New York, NY 10029-6508

Mailing address

442 Lorimer St Apt 14
Brooklyn, NY 11206-1027

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383624 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104607019

Jack Winters, NP's National Provider Identifier is 1104607019, issued on Oct 9, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Oct 9, 2023.