Individual
JORDAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
4605 FAIRVIEW DR APT 341, WILMINGTON, NC 28412-3678
(610) 927-7747
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5018481
NC
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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