Provider Demographics
NPI:1437997863
Name:WINLACK, JAMES (MSN, PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:WINLACK
Suffix:
Gender:M
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17328 ROCKY MOUNT LN
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-3301
Mailing Address - Country:US
Mailing Address - Phone:703-850-7435
Mailing Address - Fax:
Practice Address - Street 1:17328 ROCKY MOUNT LN
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-3301
Practice Address - Country:US
Practice Address - Phone:703-850-7435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00241907862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry