Individual
JENNIFER J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20209 SENTARA WAY STE 100, CARROLLTON, VA 23314-3573
(757) 772-6125
(757) 267-9196
Mailing address
4897 BENNETTS PASTURE RD, SUFFOLK, VA 23435-1373
(571) 425-1881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174863
VA
363LF0000X
Family Nurse Practitioner
R184603
MD
Other
Enumeration date
07/26/2017
Last updated
02/03/2026
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