Individual
JESSICA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Mailing address
1201 TRAVIS RD, DOTHAN, AL 36301-4721
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1-193665
AL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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