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Individual

JESSICA MARIA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
Mailing address
49920 STATE ROUTE 379, LEWISVILLE, OH 43754-9560
(330) 324-3967

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
020906
OH

Other

Enumeration date
07/07/2017
Last updated
04/17/2018
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