Individual
JOANN MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
673646
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP118974
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP118974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300399804
—
TX
01
—
300399805
CSHCN TPI
TX
Enumeration date
10/17/2011
Last updated
05/22/2024
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