Individual
ALYSSA CASE LEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST STE 270, JACKSON, MS 39202-2027
(601) 714-6470
Mailing address
138 OAK GROVE DR, BRANDON, MS 39047-6805
(601) 754-3471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
908506
MS
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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