Individual
PATRICIA LEANNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5908 GETWELL RD, SOUTHAVEN, MS 38672
(662) 536-4646
(662) 536-4443
Mailing address
PO BOX 1000, DEPT 978, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R880108
MS
363L00000X
Nurse Practitioner
R880108
MS
363LF0000X
Family Nurse Practitioner
Primary
880108
MS
Other
Enumeration date
07/09/2012
Last updated
07/08/2021
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