Individual
MS. JEAN H LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, APRN-BC
Contact information
Practice address
1 VETERANS DR IVE 112D, MINNEAPOLIS, MN 55417-2309
(612) 467-3460
(612) 467-2232
Mailing address
5452 GIRARD AVE S, MINNEAPOLIS, MN 55419-1649
(612) 824-4663
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
064844-6
MN
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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