Individual
JAMIE BONNER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6801 RIVER RD STE 301, COLUMBUS, GA 31904-3353
(706) 494-0694
(706) 494-0695
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 660-6127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN080642
GA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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