Individual
MRS. TERRILYN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, MSN
Contact information
Practice address
405 MARION AVE, MCCOMB, MS 39648-2709
(601) 684-1250
(601) 684-0129
Mailing address
405 MARION AVE, MCCOMB, MS 39648-2709
(601) 684-1250
(601) 684-0129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853385
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08025742
—
MS
Enumeration date
09/07/2006
Last updated
11/19/2007
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