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Individual

MS. JESSICA LEA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1919 STATE ST STE 446, NEW ALBANY, IN 47150-6809
(812) 981-6511
Mailing address
5200 COMMERCE CROSSINGS DR FL FLOOR, LOUISVILLE, KY 40229-2182
(502) 253-4924
(812) 590-2614

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009406
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001009782
ANTHEM
KY
05
201337240
IN
01
211861
SIHO
KY
05
300076800
IN
05
7100348040
KY
Enumeration date
06/01/2015
Last updated
07/21/2023
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