Individual
MRS. JENNIFER HENRY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1309 CARTHAGE ST, SANFORD, NC 27330
(919) 774-6262
(919) 774-1952
Mailing address
1309 CARTHAGE ST, SANFORD, NC 27330
(919) 774-6262
(919) 774-1952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103113
NC
Other
Enumeration date
10/25/2006
Last updated
01/09/2012
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