Individual
PATRICE MICHELLE LEWIS-OUTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
CENTRAL AVENUE, GRAMBLING, LA 71245
(318) 274-2288
Mailing address
403 MAIN STREET, P.O BOX 4251, RUSTON, LA 71245
(318) 243-3103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN098033
LA
363L00000X
Nurse Practitioner
Primary
AP05587
LA
363LF0000X
Family Nurse Practitioner
AP05587
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2304917
—
LA
Enumeration date
10/10/2008
Last updated
03/30/2026
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