Individual
JESSICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6580
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903212
MS
Other
Enumeration date
02/06/2019
Last updated
04/04/2025
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