Individual
MRS. VIRGINIA DENISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
(601) 985-5174
Mailing address
PO BOX 157A, 3550 HIGHWAY 468 WEST, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8586
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901385
MS
Other
Enumeration date
01/07/2016
Last updated
06/11/2019
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