Individual
MRS. JESSICA SHEARL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
Mailing address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024171628
VA
367500000X
Certified Registered Nurse Anesthetist
202152
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
2755
NC
Other
Enumeration date
07/27/2010
Last updated
07/28/2023
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