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Individual

JAMIE MARIE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-AC

Contact information

Practice address
104 WOOD DRIVE, BETHESDA, MD 20814
(301) 295-4000
Mailing address
11375 ELMONT RD, ASHLAND, VA 23005-7710
(804) 647-4603

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AC003085
MD

Other

Enumeration date
04/15/2020
Last updated
07/12/2025
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