Individual
MR. JENNINGS DEWAYNE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
40 RAVENSWOOD RD, HAMPSTEAD, NC 28443-4022
(910) 341-3300
(910) 815-2882
Mailing address
2511 DELANEY AVE, ATTN: CREDENTIALING, WILMINGTON, NC 28403-6003
(910) 667-9417
(910) 815-2882
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02385
NC
363AM0700X
Medical Physician Assistant
0010-02385
NC
Other
Enumeration date
08/19/2010
Last updated
10/06/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us