Individual
JESSICA NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7500
Mailing address
1014 FISH AND GAME RD, WAVERLY, OH 45690-9675
(740) 701-4690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN324394
OH
363LF0000X
Family Nurse Practitioner
Primary
COA16670
OH
Other
Enumeration date
06/08/2009
Last updated
11/19/2020
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