Individual
JAN N. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, AOCN
Contact information
Practice address
9212 N TRACY AVE, KANSAS CITY, MO 64155-2383
(816) 830-9338
Mailing address
9212 N TRACY AVE, KANSAS CITY, MO 64155-2383
(816) 830-9338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-52189-012
KS
163W00000X
Registered Nurse
2000144267
MO
363LF0000X
Family Nurse Practitioner
Primary
2000144267
MO
363LF0000X
Family Nurse Practitioner
45195
KS
Other
Enumeration date
12/04/2006
Last updated
03/15/2016
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