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Individual
MRS. AMETHYST JADE LEWIS
Active
Individual
MRS. AMETHYST JADE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
NUR-RN-LIC-130547
MT
363L00000X
Nurse Practitioner
Primary
293634
MT
Other
Enumeration date
01/15/2025
Last updated
09/24/2026
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