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Individual

JESSICA AMANDA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3094 CHARLES TOWN RD, KEARNEYSVILLE, WV 25430-2669
(304) 901-2070
Mailing address
156 BLAIR ST, MARTINSBURG, WV 25404-7114
(540) 607-6528

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
114044
WV

Other

Enumeration date
08/01/2024
Last updated
08/01/2024
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